West Central Smiles PA

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

WEST CENTRAL SMILES PA

Practice address

615 N Sibley Ave
Litchfield, MN 55355-1756

Phone

(320) 235-3102

NPI assigned

Oct 29, 2008

Last updated

Nov 9, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeremy Johnson

Title

Dr./Ceo

Phone

(320) 235-3102

Specialties & licenses 1

Addresses

Tax ID family

West Central Smiles PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• West Central Smiles PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Morris, MN
  • NPI 1326291790
  NPD tax ID
• West Central Smiles PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Montevideo, MN
  • NPI 1952554974
  NPD tax ID

Locations

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383955200000",
    "number": "1043463417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 19TH AVE SW",
            "address_2": "SUITE 1",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562015288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N SIBLEY AVE",
            "city": "LITCHFIELD",
            "state": "MN",
            "postal_code": "553551756",
            "telephone_number": "320-235-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST CENTRAL SMILES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-29",
        "last_updated": "2013-11-09",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "DR./CEO",
        "authorized_official_telephone_number": "320-235-3102"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lyle Walter Wagner Jr., PHD
• Walmart Inc.
• Amanda Weibel
• Leah Marie Weires, LPCC
• Robyn Alicia Wesen, PT
• Kara West, LICSW
• Jill White, RN
• Wildflower Counseling LLC
• Winsted Dental PLLC (Litchfield Dental)
• Diane Lynn Winter, PHN

• Orthodontics and Dentofacial Orthopedics Dentistry in Litchfield, MN
• Providers in Litchfield, MN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.