Active NPI
Ilsa Lynn West, DMD
- Pediatric Dentistry
- Baltimore, MD
National Provider Identifier
1275169849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 16930
- Practice address
- 2 Hamill Rd Ste 266
Baltimore, MD 21210-1894 - Phone
- (410) 435-8400
- NPI assigned
- Mar 16, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS041943 | PA | |
| Pediatric Dentistry | 1223P0221X | DS041943 | PA | |
| Pediatric Dentistry | 1223P0221X | 16930 | MD | Primary |
Addresses
Primary practice location
2 Hamill Rd Ste 266
Baltimore, MD 21210-1894
Mailing address
7114 Deerfield Rd
Pikesville, MD 21208-6009
Phone (404) 788-1821
Other practice location 1
3501 Terrace St
Pittsburgh, PA 15213-2523
Phone (404) 788-1821
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16930 | MD | MD | Pediatric Dentist |
| DS041943 | PA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593648000000",
"number": "1275169849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7114 DEERFIELD RD",
"city": "PIKESVILLE",
"state": "MD",
"postal_code": "212086009",
"telephone_number": "404-788-1821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 HAMILL RD STE 266",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212101894",
"telephone_number": "410-435-8400"
}
],
"practiceLocations": [
{
"address_1": "3501 Terrace St",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "152132523",
"country_code": "US",
"telephone_number": "404-788-1821",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEST",
"first_name": "ILSA",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-16",
"last_updated": "2020-07-02",
"certification_date": "2020-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS041943",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "PA",
"license": "DS041943",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "MD",
"license": "16930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.