DR. JOSHUA WOHLGEMUTH D.D.S.
NPI 1174978720
Dentist - Oral and Maxillofacial Surgery in Redondo Beach, CA

Q: What is Joshua Wohlgemuth's NPI number?

The NPI number for Joshua Wohlgemuth is 1174978720. It was assigned to this individual provider in the NPPES registry on May 2, 2016.

Q: What is Joshua Wohlgemuth's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: Is Joshua Wohlgemuth enrolled in Medicare?

No. Joshua Wohlgemuth has opted out of Medicare through October 7, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Joshua Wohlgemuth was last updated on May 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 02, 2016Opted out of Medicare · through Oct 7, 2026

1706 S ELENA AVE STE A, REDONDO BEACH, CA 90277(310) 375-0514 Get Directions Write a Review

NPPES record last updated: May 14, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Joshua Wohlgemuth D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOSHUA WOHLGEMUTH D.D.S. (NPI 1174978720) is an individual oral and maxillofacial surgery provider in Redondo Beach, California, licensed in California (100105) and active in the NPI registry since May 2016. He has opted out of Medicare through October 7, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1174978720

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. JOSHUA WOHLGEMUTHCredential: D.D.S.

Location Address1706 S ELENA AVE STE ARedondo Beach, CA 90277-5715

Mailing Address1706 S Elena Ave Ste ARedondo Beach, CA 90277-5715 · (310) 375-0514

Phone(310) 375-0514

Sole ProprietorYes

Enumeration DateMay 2, 2016

Last NPPES UpdateMay 14, 2020

NPPES CertifiedMay 14, 2020

✔ NPI 1174978720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in CA · 100105

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

1706 S ELENA AVE STE A, Redondo Beach, CA 90277

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Joshua Wohlgemuth D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 7, 2020 through October 7, 2026.

Opt-Out Effective DateOctober 7, 2020

Opt-Out In Effect ThroughOctober 7, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90277 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRENT WESTERNOFF DMD MD INC & MARTIN MARDIROSIAN DDS MD APC GENERAL PA

Dentist (Oral and Maxillofacial Surgery)

1706 S ELENA AVE STE A
REDONDO BEACH, CA 90277

Los Angeles County (310) 375-0514

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joshua Wohlgemuth's NPI number?

The NPI number for Joshua Wohlgemuth is 1174978720. It was assigned to this individual provider in the NPPES registry on May 2, 2016.

Where is Joshua Wohlgemuth located?

Joshua Wohlgemuth practices at 1706 S Elena Ave Ste A, Redondo Beach, CA 90277. The listed phone number is (310) 375-0514.

What is Joshua Wohlgemuth's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Joshua Wohlgemuth enrolled in Medicare?

No. Joshua Wohlgemuth has opted out of Medicare through October 7, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Joshua Wohlgemuth was last updated on May 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.