Individual provider Active NPI

Kimberly Lynn Westmoreland, D.D.S.

  • Dentist
  • Saginaw, TX
National Provider Identifier
1194078253
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
28376 Issued in TX
Practice address
1209 N Saginaw Blvd Ste D
Saginaw, TX 76179-1169
Phone
(817) 306-8600
NPI assigned
Oct 25, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 28376 TX Primary

Addresses

Primary practice location

1209 N Saginaw Blvd Ste D
Saginaw, TX 76179-1169

Mailing address

1209 N Saginaw Blvd Ste D
Saginaw, TX 76179-1169
Phone (817) 306-8600

Other practice location 1

3200 W Euless Blvd
Euless, TX 76040-6253
Phone (469) 733-4391 ext. 46973

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20200317000217 TX Practitioner - Dentist 1355653098 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Acclaim Physician Group, Inc CurrentSince Mar 2, 2020 Accepting new patients
Network Provider Associates, P.C. Dentist Past Accepting new patients

Locations

3200 W Euless Blvd
Euless, TX 76040
Phone (817) 702-6474

1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701

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": "1351123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1194078253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 N SAGINAW BLVD STE D",
            "city": "SAGINAW",
            "state": "TX",
            "postal_code": "761791169",
            "telephone_number": "817-306-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 N SAGINAW BLVD STE D",
            "city": "SAGINAW",
            "state": "TX",
            "postal_code": "761791169",
            "telephone_number": "817-306-8600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3200 W Euless Blvd",
            "address_purpose": "LOCATION",
            "city": "Euless",
            "state": "TX",
            "postal_code": "760406253",
            "country_code": "US",
            "telephone_number": "469-733-4391 x46973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WESTMORELAND",
        "first_name": "KIMBERLY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-25",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "28376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, TX

Sources for this page

Verify at the official NPI Registry.