NPIMap

Organization Active NPI

A Westfall Dental Corporation

  • Dental Clinic/Center
  • South Lake Tahoe, CA
National Provider Identifier
1003468976
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
A WESTFALL DENTAL CORPORATION
Practice address
2074 Lake Tahoe Blvd Ste 4
South Lake Tahoe, CA 96150-6408
Phone
(530) 600-2835
NPI assigned
Jul 11, 2019
Organization subpart
Yes
Parent organization
A WESTFALL DENTAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. April Lyn Westfall, DMD
Title
Ceo
Phone
(530) 600-2835

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2074 Lake Tahoe Blvd Ste 4
South Lake Tahoe, CA 96150-6408

Mailing address

3358 Sandy Way
South Lake Tahoe, CA 96150-8105
Phone (530) 208-8917

Other names 1

  • Tahoe Valley Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
A Westfall Dental Corporation3 organizations share this tax ID, including this one
Part of
A Westfall Dental Corporation

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2074 Lake Tahoe Blvd
Ste 4
South Lake Tahoe, CA 96150
Phone (530) 543-5554

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562803200000",
    "number": "1003468976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3358 SANDY WAY",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961508105",
            "telephone_number": "530-208-8917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2074 LAKE TAHOE BLVD STE 4",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961506408",
            "telephone_number": "530-600-2835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A WESTFALL DENTAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "A WESTFALL DENTAL CORPORATION",
        "enumeration_date": "2019-07-11",
        "last_updated": "2019-07-11",
        "status": "A",
        "authorized_official_last_name": "WESTFALL",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "530-600-2835",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tahoe Valley Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Lake Tahoe, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.