Individual provider Active NPI

William Parker Westrbook, D.M.D.

  • General Practice Dentistry
  • Camilla, GA
National Provider Identifier
1235240268
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9841 Issued in GA
Practice address
32 N Ellis St
Camilla, GA 31730-1502
Phone
(229) 336-0305
Fax
(229) 336-0307
NPI assigned
Aug 31, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
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 9841 GA Primary

Addresses

Primary practice location

32 N Ellis St
Camilla, GA 31730-1502

Mailing address

32 N Ellis St
Camilla, GA 31730-1502
Phone (229) 336-0305

Other identifiers 1

IdentifierTypeStateIssuer
00270047BMedicaidGA

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

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235240268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 N ELLIS ST",
            "city": "CAMILLA",
            "state": "GA",
            "postal_code": "317301502",
            "telephone_number": "229-336-0305",
            "fax_number": "229-336-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 N ELLIS ST",
            "city": "CAMILLA",
            "state": "GA",
            "postal_code": "317301502",
            "telephone_number": "229-336-0305",
            "fax_number": "229-336-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTRBOOK",
        "first_name": "WILLIAM",
        "middle_name": "PARKER",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "9841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00270047B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camilla, GA

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.