Individual provider Active NPI

John William Westmoreland, D.D.S.

  • General Practice Dentistry
  • Huntington Beach, CA
National Provider Identifier
1104938836
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
32411 Issued in CA
Practice address
5112 Warner Ave
Suite #103
Huntington Beach, CA 92649-6036
Phone
(714) 842-1416
Fax
(714) 842-1417
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 32411 CA Primary

Addresses

Primary practice location

5112 Warner Ave
Suite #103
Huntington Beach, CA 92649-6036

Mailing address

5112 Warner Ave
Suite #103
Huntington Beach, CA 92649-6036
Phone (714) 842-1416

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

State licenses

LicenseStateTypeSpecialty
32411CAMDClinical Neuropsychologist

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104938836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5112 WARNER AVE",
            "address_2": "SUITE #103",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926496036",
            "telephone_number": "714-842-1416",
            "fax_number": "714-842-1417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5112 WARNER AVE",
            "address_2": "SUITE #103",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926496036",
            "telephone_number": "714-842-1416",
            "fax_number": "714-842-1417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTMORELAND",
        "first_name": "JOHN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "32411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.