Individual provider Active NPI

Kenneth Leigh Westbrook, DDS

  • General Practice Dentistry
  • Morehead City, NC
National Provider Identifier
1154334571
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7666 Issued in NC
Practice address
3708 Symi Cir
Morehead City, NC 28557-4309
Phone
(252) 726-5778
Fax
(252) 726-2684
NPI assigned
Aug 15, 2006
Sex
Male
Sole proprietor
No

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 7666 NC Primary

Addresses

Primary practice location

3708 Symi Cir
Morehead City, NC 28557-4309

Mailing address

3708 Symi Cir
Morehead City, NC 28557-4309
Phone (252) 726-5778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20160822000899 NC Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0143418756

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kenneth L. Westbrook, DDS, P.a. General Practice Past Accepting new patients
Donald L Westbrook, DDS, PA 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154334571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3708 SYMI CIR",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285574309",
            "telephone_number": "252-726-5778",
            "fax_number": "252-726-2684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3708 SYMI CIR",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285574309",
            "telephone_number": "252-726-5778",
            "fax_number": "252-726-2684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTBROOK",
        "first_name": "KENNETH",
        "middle_name": "LEIGH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead City, NC

Sources for this page

Verify at the official NPI Registry.