Individual provider Active NPI

Cristina - Westenburg, D.D.S.

  • General Practice Dentistry
  • Saint Joseph, MI
National Provider Identifier
1205934031
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901018326 Issued in MI
Practice address
2460 Lakeshore Dr
Saint Joseph, MI 49085-1874
Phone
(269) 983-5583
Fax
(269) 983-5663
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
Yes

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 2901018326 MI Primary

Addresses

Primary practice location

2460 Lakeshore Dr
Saint Joseph, MI 49085-1874

Mailing address

3285 Wissing LN
Saint Joseph, MI 49085-9287
Phone (734) 678-6526

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

State licenses

LicenseStateTypeSpecialty
2901018326MIMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205934031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3285 WISSING LN",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859287",
            "telephone_number": "734-678-6526",
            "fax_number": "269-983-5663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 LAKESHORE DR",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490851874",
            "telephone_number": "269-983-5583",
            "fax_number": "269-983-5663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTENBURG",
        "first_name": "CRISTINA",
        "middle_name": "-",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901018326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.