Westlakes Family Dental, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

20528 Issued in TX

Legal business name

WESTLAKES FAMILY DENTAL, PA

Doing business as

Westlakes Family Dental

Practice address

9522 Potranco Rd
San Antonio, TX 78251-9601

Phone

(210) 675-9200

Fax

(210) 521-9204

NPI assigned

Mar 29, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Kerry W Nelson, DDSNPI 1801818364

Title

Owner/President

Phone

(210) 675-9200

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Westlakes Family Dental Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kerry W Nelson, DDS

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1801818364
  NPD Authorized official
• Derrick Lin, DDS

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1316327430
  NPD (past)

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596672000000",
    "number": "1396011839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9522 POTRANCO RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782519601",
            "telephone_number": "210-675-9200",
            "fax_number": "210-521-9204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9522 POTRANCO RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782519601",
            "telephone_number": "210-675-9200",
            "fax_number": "210-521-9204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTLAKES FAMILY DENTAL, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-29",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "210-675-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20528",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1801818364",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westlakes Family Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Westlakes Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Western Dental Care
• Alicia Westfall, RD, LD
• Rebecca Westfall, RN, IBCLC
• Terry L Westfield, M.D.
• Christopher James Westgarth-Taylor, MD
• Westlakes Primary Care, PA
• Kelli Lynn Westlund
• Randall P Westman, DDS
• Miranda Leigh Westmoreland
• Weston Rehabilitation Texas LLC

• General Practice Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; 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.