Josh Robert Westerberg, DENTURIST/DENTURITRY

Primary specialty

DenturistTaxonomy code 122400000X

License

LD-92 Issued in ID

Practice address

2124 Blaine St
Caldwell, ID 83605-4426

Phone

(208) 454-0311

NPI assigned

May 31, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• New Smile Inc.

  • Denturist
  • Caldwell, ID
  • NPI 1215465471
  NPD Authorized official
• Public Denture Center

  • Dental Laboratory
  • Caldwell, ID
  • NPI 1700294568
  NPD (past)

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

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1174051403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 BLAINE ST",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054426",
            "telephone_number": "208-454-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 BLAINE ST",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054426",
            "telephone_number": "208-454-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTERBERG",
        "first_name": "JOSH",
        "middle_name": "ROBERT",
        "credential": "DENTURIST/DENTURITRY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-31",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "",
            "desc": "Denturist",
            "state": "ID",
            "license": "LD-92",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• West Valley Medical Group LLC
• West Valley Medical Group Specialty Services LLC
• West Valley Professional Fee Billing, LLC
• West Valley Therapy Services, LLC
• Allan Lee West, LMFT
• Rebecca Lynn Westerberg, LD
• Western Idaho Pathology PA
• Wendy M Weston, LPC
• Shad B Westover, CRNA
• Gillian Wheadon

• Denturist in Caldwell, ID
• Providers in Caldwell, ID by specialty
• Denturist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.