Individual provider Active NPI

Yesha Banaji Westbrooks, DDS

  • General Practice Dentistry
  • Somerset, KY
National Provider Identifier
1386270692
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10484 Issued in KY
Practice address
521 Crane Rd
Somerset, KY 42501-9503
Phone
(606) 425-5768
NPI assigned
Mar 18, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10484 KY Primary

Addresses

Primary practice location

521 Crane Rd
Somerset, KY 42501-9503

Mailing address

521 Crane Rd
Somerset, KY 42501-9503
Phone (606) 425-5769

Other practice location 1

4501 Louise Underwood Way
Louisville, KY 40216-3987
Phone (502) 368-2348

Other identifiers 1

IdentifierTypeStateIssuer
7100693960MedicaidKY

Other names 1

  • Yesha Banaji Former name

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

State licenses

LicenseStateTypeSpecialty
10484KYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1584489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1386270692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 CRANE RD",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425019503",
            "telephone_number": "606-425-5769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 CRANE RD",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425019503",
            "telephone_number": "606-425-5768"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4501 Louise Underwood Way",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402163987",
            "country_code": "US",
            "telephone_number": "502-368-2348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WESTBROOKS",
        "first_name": "YESHA",
        "middle_name": "BANAJI",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-18",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "10484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100693960",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YESHA",
            "last_name": "BANAJI",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Somerset, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.