Active NPI
Lance Edward West, D.M.D., M.S., P.C.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Medford, OR
National Provider Identifier
1356520852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- D8008
- Practice address
- 1322 E McAndrews Rd
Suite 102
Medford, OR 97504-6177 - Phone
- (541) 770-1176
- Fax
- (541) 770-1501
- NPI assigned
- Oct 31, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | D8008 | OR | Primary |
Addresses
Primary practice location
1322 E McAndrews Rd
Suite 102
Medford, OR 97504-6177
Mailing address
1322 E McAndrews Rd
Suite 102
Medford, OR 97504-6177
Phone (541) 770-1176
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D8008 | OR | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193788800000",
"number": "1356520852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1322 E MCANDREWS RD",
"address_2": "SUITE 102",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975046177",
"telephone_number": "541-770-1176",
"fax_number": "541-770-1501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1322 E MCANDREWS RD",
"address_2": "SUITE 102",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975046177",
"telephone_number": "541-770-1176",
"fax_number": "541-770-1501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEST",
"first_name": "LANCE",
"middle_name": "EDWARD",
"credential": "D.M.D., M.S., P.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-31",
"last_updated": "2007-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "OR",
"license": "D8008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.