Jeremy Thomas West, D.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

56669 Issued in CA

Practice address

1500 McHenry Ave
Modesto, CA 95350-4529

Phone

(209) 526-0462

Fax

(209) 526-9223

NPI assigned

Dec 20, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• West Dental Corporation

  • Dental Clinic/Center
  • Modesto, CA
  • NPI 1124697990
  NPD Authorized official

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1366626764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 MCHENRY AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504529",
            "telephone_number": "209-526-0462",
            "fax_number": "209-380-9223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 MCHENRY AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504529",
            "telephone_number": "209-526-0462",
            "fax_number": "209-526-9223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "JEREMY",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-20",
        "last_updated": "2019-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "56669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• West Coast Orthotic & Prosthetic Services Inc
• West Dental Corporation
• West Dermatology of Northern California, Inc
• West Modesto Community Collaborative
• Colette D West
• Jonathan Reagan West, DDS, MS
• Lacey West, MA
• Leslie West
• Meloney Anne West
• Nathanial West

• Orthodontics and Dentofacial Orthopedics Dentistry in Modesto, CA
• Providers in Modesto, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; 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.