Active NPI
Gary J Westerman, DMD
- Dentist
- Southbury, CT
National Provider Identifier
1316040884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6934
- Practice address
- 1063 Main St North
Southbury, CT 06488-1252 - Phone
- (203) 264-5630
- Fax
- (203) 264-7873
- NPI assigned
- Sep 7, 2006
- Last updated
- Feb 25, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6934 | CT | Primary |
Addresses
Primary practice location
1063 Main St North
Southbury, CT 06488-1252
Mailing address
1063 Main St North
Southbury, CT 06488-1252
Phone (203) 264-5630
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150623001622 | CT | Order and Referring Only - Oral Surgery | 4789995325 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006934 | CT | MD | Medical Physician Assistant |
| 6934 | CT | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361750400000",
"number": "1316040884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1063 MAIN ST NORTH",
"city": "SOUTHBURY",
"state": "CT",
"postal_code": "064881252",
"telephone_number": "203-264-5630",
"fax_number": "203-264-7873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1063 MAIN ST NORTH",
"city": "SOUTHBURY",
"state": "CT",
"postal_code": "064881252",
"telephone_number": "203-264-5630",
"fax_number": "203-264-7873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESTERMAN",
"first_name": "GARY",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-07",
"last_updated": "2013-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CT",
"license": "6934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southbury, CT
- Mercedes Walters
- Watermark Retirement Communities of Connecticut (The Springs at Watermark East Hill)
- Franklyn Joseph Webster, PT, DPT
- Karen L Weir, OTR/L
- Richard H Welsh III, DPT
- Wexford Behavioral Health Inc
- Katherine Whalen, PT
- Patricia Ann Whitehouse, BSRN
- Whitney Balliett LLC
- Cecelia Culhane Whitney, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.