Active NPI
Westwood Family Dental PC
- General Practice Dentistry
- Mankato, MN
National Provider Identifier
1346525631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D10968
- Legal business name
- WESTWOOD FAMILY DENTAL PC
- Practice address
- 151 St. Andrews CT Suite 1110
Mankato, MN 56001 - Phone
- (507) 625-3260
- Fax
- (507) 625-7369
- NPI assigned
- Oct 18, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James Robert Simpson, DDS
- Title
- Pres
- Phone
- (507) 625-3260
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D10968 | MN | Primary |
Addresses
Primary practice location
151 St. Andrews CT Suite 1110
Mankato, MN 56001
Mailing address
151 St Andrews CT Suite 1110
Mankato, MN 56001
Phone (507) 625-3260
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992845267 | Medicaid | MN |
National Provider Directory
National Provider DirectoryLocations
151 Saint Andrews Ct
Ste 1110
Mankato, MN 56001
Phone (507) 625-3260
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Mankato, MN
- NPI 1992845267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1621987200000",
"number": "1346525631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 ST ANDREWS CT SUITE 1110",
"city": "MANKATO",
"state": "MN",
"postal_code": "56001",
"telephone_number": "507-625-3260",
"fax_number": "507-625-7369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 ST. ANDREWS CT SUITE 1110",
"city": "MANKATO",
"state": "MN",
"postal_code": "56001",
"telephone_number": "507-625-3260",
"fax_number": "507-625-7369"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTWOOD FAMILY DENTAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-18",
"last_updated": "2021-05-26",
"certification_date": "2021-05-26",
"status": "A",
"authorized_official_last_name": "SIMPSON",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "ROBERT",
"authorized_official_title_or_position": "PRES",
"authorized_official_telephone_number": "507-625-3260",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "MN",
"license": "D10968",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1992845267",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mankato, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.