Westwood Dental Group

Primary specialty

DentistTaxonomy code 122300000X

License

5820 Issued in TX

Legal business name

WESTWOOD DENTAL GROUP

Practice address

14039 Westheimer Rd
Houston, TX 77077-5360

Phone

(281) 558-3384

Fax

(713) 722-8441

NPI assigned

Dec 12, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Edward W Russey Jr., DDS

Title

Owner

Phone

(713) 722-8400

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1229040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229040000000",
    "number": "1235374786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1458 CAMPBELL RD",
            "address_2": "STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770554669",
            "telephone_number": "713-722-8400",
            "fax_number": "713-722-8441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14039 WESTHEIMER RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770775360",
            "telephone_number": "281-558-3384",
            "fax_number": "713-722-8441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTWOOD DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-12",
        "last_updated": "2008-12-12",
        "status": "A",
        "authorized_official_last_name": "RUSSEY",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-722-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "5820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009830301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE GOVERNMENT PROGRAM TEXAS CHIP",
            "identifier": "G60189-04",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Westview Medical Consultants LLP
• Westview Treatment Center
• Westwater Diagnostics PLLC
• Westwater Diagnostics PLLC
• Westwind Diagnostics
• Westwood Diagnostics
• Westworks Learning Center LLC
• Ann O'Kelley Wetmore, R.D.H.
• David W. Wetter, PH.D
• Alfred Boyce Wettermark III, M.D.

• Dentist in Houston, TX
• Providers in Houston, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2008; 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.