NPIMap

Organization Active NPI

Harrell Dental

Doing business as Westgate Dental

  • Dental Clinic/Center
  • Cheyenne, WY
National Provider Identifier
1255725297
Registry record updated Mar 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
1173 Issued in WY
Legal business name
HARRELL DENTAL
Doing business as
Westgate Dental
Practice address
121 W Carlson St
Cheyenne, WY 82009-4044
Phone
(307) 635-1197
NPI assigned
Mar 27, 2015
Last updated
Mar 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2015

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

Authorized official

Name
Dr. Benjamin J Harrell, DDS, MBANPI 1013143593
Title
Dentist
Phone
(307) 635-1197

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 1355 WY
Dental Clinic/Center 261QD0000X 1173 WY Primary

Addresses

Primary practice location

121 W Carlson St
Cheyenne, WY 82009-4044

Mailing address

121 W Carlson St
Cheyenne, WY 82009-4044
Phone (307) 635-1197

Other names 1

  • WESTGATE DENTAL Doing business as

National Provider Directory

National Provider Directory

Locations

121 W Carlson St
Cheyenne, WY 82009
Phone (307) 635-1197

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427414400000",
    "number": "1255725297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W CARLSON ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820094044",
            "telephone_number": "307-635-1197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W CARLSON ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820094044",
            "telephone_number": "307-635-1197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRELL DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-27",
        "last_updated": "2015-03-27",
        "status": "A",
        "authorized_official_last_name": "HARRELL",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "307-635-1197",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MBA"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WY",
            "license": "1355",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WY",
            "license": "1173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WESTGATE DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cheyenne, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; 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.