Organization Active NPI

David Westerberg D.D.S. Corporation

  • Dentist
  • San Bernardino, CA
National Provider Identifier
1225254709
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
36121 Issued in CA
Legal business name
DAVID WESTERBERG D.D.S. CORPORATION
Practice address
2131 Elks Dr Ste 104
San Bernardino, CA 92404-5571
Phone
(909) 882-1211
Fax
(909) 882-7006
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
David G Westerberg, D.D.S.
Title
Dentist
Phone
(909) 882-1211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 36121 CA Primary

Addresses

Primary practice location

2131 Elks Dr Ste 104
San Bernardino, CA 92404-5571

Mailing address

2131 Elks Dr Ste 104
San Bernardino, CA 92404-5571
Phone (909) 882-1211

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225254709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2131 ELKS DR STE 104",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924045571",
            "telephone_number": "909-882-1211",
            "fax_number": "909-882-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 ELKS DR STE 104",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924045571",
            "telephone_number": "909-882-1211",
            "fax_number": "909-882-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID WESTERBERG D.D.S. CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WESTERBERG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "909-882-1211",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "36121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.