Marston Thorn Westbrook, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

D-1861-OS Issued in ID

Practice address

980 W Ironwood Dr
Suite 301
Coeur D Alene, ID 83814-2668

Phone

(208) 664-0844

Fax

(208) 664-9682

NPI assigned

Aug 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• J.R. Haynie DDS PC

  dba Lakeside Oral Surgery & Dental Implants

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Coeur d'Alene, ID
  • NPI 1548607633
  NPD (past)
• Marston T Westbrook , DDS, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Coeur d'Alene, ID
  • NPI 1114161551
  NPD (past)

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240963200000",
    "number": "1265549968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 W IRONWOOD DR",
            "address_2": "SUITE 301",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142668",
            "telephone_number": "208-664-0844",
            "fax_number": "208-664-9682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 W IRONWOOD DR",
            "address_2": "SUITE 301",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142668",
            "telephone_number": "208-664-0844",
            "fax_number": "208-664-9682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTBROOK",
        "first_name": "MARSTON",
        "middle_name": "THORN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2009-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "ID",
            "license": "D-1861-OS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002067800",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805105200",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cord Wertz, PHARMD
• Darla Wessel, PT
• Alishia Brooke West, CNP
• Robert Sumner West, M.D.
• Christina M Westberg, LMSW, GC-C
• Frederick Westby, LPC
• Julie Ann Westby
• Ronda Westcott, M.D.
• Western Medical Associates, PLLC
• Charles William Westin, M.D.

• Oral and Maxillofacial Surgery (Dentist) in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Oral and Maxillofacial Surgery (Dentist) in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; 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.