Grayson T West, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

D13219 Issued in MN

Practice address

2459 15TH St NW
Ste. C
New Brighton, MN 55112-5594

Phone

(651) 631-3100

Fax

(651) 631-1728

NPI assigned

Jun 5, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• New Brighton Family Dentistry, PLLC

  • Dental Clinic/Center
  • New Brighton, MN
  • NPI 1306426317
  NPD Authorized official

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

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384646400000",
    "number": "1013355643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2459 15TH ST NW",
            "address_2": "STE. C",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551125594",
            "telephone_number": "651-631-3100",
            "fax_number": "651-631-1728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2459 15TH ST NW",
            "address_2": "STE. C",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551125594",
            "telephone_number": "651-631-3100",
            "fax_number": "651-631-1728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "GRAYSON",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-05",
        "last_updated": "2013-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D13219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Louise Wegner, BS
• Kara Lynne Weigand, OTR/L
• Well-Being for Kids, LLC
• Wellnessrx Homecare
• Glenn Allen Werner, MS, LP
• Taylor Kay West, MS, LPCC
• Janet Westlund, LICSW
• Hasmin Wicklund Najm
• Jessica Widboom, MSW, LICSW
• Jennifer Lynn Wiitala, PTA

• Dentist in New Brighton, MN
• Providers in New Brighton, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2013; 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.