Organization Active NPI

Westermann Family Dentistry PLLC

  • General Practice Dentistry
  • Louisville, KY
National Provider Identifier
1376326140
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WESTERMANN FAMILY DENTISTRY PLLC
Practice address
10212 Westport Rd
Louisville, KY 40241-2148
Phone
(502) 648-0406
NPI assigned
Aug 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Authorized official

Name
Kimberly Westermann, DMD
Title
Dentist Owner
Phone
(502) 648-0406

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

10212 Westport Rd
Louisville, KY 40241-2148

Mailing address

10212 Westport Rd
Louisville, KY 40241-2148
Phone (502) 648-0406

Other identifiers 1

IdentifierTypeStateIssuer
1952584054MedicaidKY

National Provider Directory

National Provider Directory

Locations

10212 Westport Rd
Louisville, KY 40241
Phone (502) 426-1022

Practitioners & affiliated clinicians

Practitioners 1

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": "1692144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1376326140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10212 WESTPORT RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412148",
            "telephone_number": "502-648-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10212 WESTPORT RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412148",
            "telephone_number": "502-648-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERMANN FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-14",
        "status": "A",
        "authorized_official_last_name": "WESTERMANN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "502-648-0406",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952584054",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.