Individual provider Active NPI

David Parker West, M.D.

  • General Practice Physician
  • Edmond, OK
National Provider Identifier
1154755619
Registry record updated Dec 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
8513 Issued in OK
Practice address
404 Steve Douglas Dr
Edmond, OK 73034-4756
Phone
(405) 348-6551
Fax
(405) 348-6551
NPI assigned
Sep 2, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 8513 OK Primary

Addresses

Primary practice location

404 Steve Douglas Dr
Edmond, OK 73034-4756

Mailing address

404 Steve Douglas Dr
Edmond, OK 73034-4756
Phone (405) 348-6551

Other identifiers 2

IdentifierTypeStateIssuer
8513OtherOKSTATE LICENSE TO PRACTICE MEDICINE
110-8513MedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
8513OKMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1378080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417996800000",
    "number": "1154755619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 STEVE DOUGLAS DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730344756",
            "telephone_number": "405-348-6551",
            "fax_number": "405-348-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 STEVE DOUGLAS DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730344756",
            "telephone_number": "405-348-6551",
            "fax_number": "405-348-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "DAVID",
        "middle_name": "PARKER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-02",
        "last_updated": "2014-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OK",
            "license": "8513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE TO PRACTICE MEDICINE",
            "identifier": "8513",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110-8513",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.