Individual provider Active NPI

Bradley Gene Westfall, D.D.S.

  • General Practice Dentistry
  • Chelsea, OK
National Provider Identifier
1114960531
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4776 Issued in OK
Practice address
430 W 6TH St
Chelsea, OK 74016-1640
Phone
(918) 789-2515
Fax
(918) 789-2516
NPI assigned
Jun 14, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 4776 OK Primary

Addresses

Primary practice location

430 W 6TH St
Chelsea, OK 74016-1640

Mailing address

430 W 6TH St
P.O. Box 65
Chelsea, OK 74016-1640
Phone (918) 789-2515

Other identifiers 1

IdentifierTypeStateIssuer
10011320BMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160623001079 OK Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1355632217

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4776OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chelsea Family Dental PastSince Jun 1, 2023 Accepting new patients
Brad G. Westfall, D.D.S.,P.C. General Practice Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1114960531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 W 6TH ST",
            "address_2": "P.O. BOX 65",
            "city": "CHELSEA",
            "state": "OK",
            "postal_code": "740161640",
            "telephone_number": "918-789-2515",
            "fax_number": "918-789-2516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 W 6TH ST",
            "city": "CHELSEA",
            "state": "OK",
            "postal_code": "740161640",
            "telephone_number": "918-789-2515",
            "fax_number": "918-789-2516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTFALL",
        "first_name": "BRADLEY",
        "middle_name": "GENE",
        "name_prefix": "Mr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "4776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10011320B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelsea, OK

Sources for this page

Verify at the official NPI Registry.