Active NPI
Kristine Spring West, DDS, MS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Dewitt, MI
National Provider Identifier
1154464576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 2901016440
- Practice address
- 13109 Schavey Rd Ste 1
Dewitt, MI 48820-9015 - Phone
- (517) 507-3001
- NPI assigned
- Feb 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 056161-1 | NY | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 015524 | MO | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 2901016440 | MI | Primary |
Addresses
Primary practice location
13109 Schavey Rd Ste 1
Dewitt, MI 48820-9015
Mailing address
13109 Schavey Rd Ste 1
Dewitt, MI 48820-9015
Phone (517) 507-3001
Other names 1
- Dr. Kristine Spring West
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 |
|---|---|---|---|
| 2901016440 | MI | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| 015524 | MO | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| 056161-1 | NY | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TC Greece Pediatric Dentistry PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Greece, NY
- NPI 1295496933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588809600000",
"number": "1154464576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13109 SCHAVEY RD STE 1",
"city": "DEWITT",
"state": "MI",
"postal_code": "488209015",
"telephone_number": "517-507-3001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13109 SCHAVEY RD STE 1",
"city": "DEWITT",
"state": "MI",
"postal_code": "488209015",
"telephone_number": "517-507-3001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEST",
"first_name": "KRISTINE",
"middle_name": "SPRING",
"name_prefix": "Dr.",
"credential": "DDS, MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-15",
"last_updated": "2020-05-07",
"certification_date": "2020-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NY",
"license": "056161-1",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MO",
"license": "015524",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MI",
"license": "2901016440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTINE",
"last_name": "WEST",
"middle_name": "SPRING",
"prefix": "DR.",
"credential": "DDS, MS",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Dewitt, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.