NPIMap

Organization Active NPI

Kelly West, DDS Cosmetic & Family Denitstry, PC

  • Dental Clinic/Center
  • Saginaw, TX
National Provider Identifier
1306178249
Registry record updated Feb 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
21325 Issued in TX
Legal business name
KELLY WEST, DDS COSMETIC & FAMILY DENITSTRY, PC
Practice address
608 E Bailey Boswell Rd
100
Saginaw, TX 76131-3569
Phone
(817) 234-9378
NPI assigned
Feb 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2010

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

Authorized official

Name
Dr. Kelly Lynn West, DDSNPI 1669703088
Title
Owner/Dentist
Phone
(817) 234-9378

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 21325 TX Primary

Addresses

Primary practice location

608 E Bailey Boswell Rd
100
Saginaw, TX 76131-3569

Mailing address

608 E Bailey Boswell Rd
100
Saginaw, TX 76131-3569
Phone (817) 234-9378

Other identifiers 1

IdentifierTypeStateIssuer
1669703088OtherTXTYPE 1

National Provider Directory

National Provider Directory

Locations

608 E Bailey Boswell Rd
Ste 100
Saginaw, TX 76131
Phone (817) 234-9378

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265155200000",
    "number": "1306178249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 E BAILEY BOSWELL RD",
            "address_2": "100",
            "city": "SAGINAW",
            "state": "TX",
            "postal_code": "761313569",
            "telephone_number": "817-234-9378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 E BAILEY BOSWELL RD",
            "address_2": "100",
            "city": "SAGINAW",
            "state": "TX",
            "postal_code": "761313569",
            "telephone_number": "817-234-9378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY WEST, DDS COSMETIC & FAMILY DENITSTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-03",
        "last_updated": "2010-02-03",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "817-234-9378",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "21325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1",
            "identifier": "1669703088",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; 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.