Active NPI
Reginald R. Westphal, D.D.S., M.S.
- Endodontics
- Wellington, CO
National Provider Identifier
1023221165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 100988
- Practice address
- 8017 First Street #C
Wellington, CO 80549-1595 - Phone
- (970) 775-4504
- Fax
- (970) 293-8303
- NPI assigned
- May 7, 2007
- Last updated
- Jun 11, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 100988 | CO | Primary |
Addresses
Primary practice location
8017 First Street #C
Wellington, CO 80549-1595
Mailing address
3268 Wild West LN
Wellington, CO 80549-1595
Phone (719) 369-8122
Other practice location 1
3529 E Grand Ave # 82070
Laramie, WY 82070-5135
Phone (307) 460-9099
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100988 | CO | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1023221165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3268 WILD WEST LN",
"city": "WELLINGTON",
"state": "CO",
"postal_code": "805491595",
"telephone_number": "719-369-8122",
"fax_number": "970-568-9938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8017 FIRST STREET #C",
"city": "WELLINGTON",
"state": "CO",
"postal_code": "805491595",
"telephone_number": "970-775-4504",
"fax_number": "970-293-8303"
}
],
"practiceLocations": [
{
"address_1": "3529 E Grand Ave # 82070",
"address_purpose": "LOCATION",
"city": "Laramie",
"state": "WY",
"postal_code": "820705135",
"country_code": "US",
"telephone_number": "307-460-9099",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WESTPHAL",
"first_name": "REGINALD",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "D.D.S., M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-07",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CO",
"license": "100988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wellington, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.