Active NPI
A Westfall Dental Corporation
- Dental Clinic/Center
- Diamond Springs, CA
National Provider Identifier
1427530161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- A WESTFALL DENTAL CORPORATION
- Practice address
- 540 Main St
Diamond Springs, CA 95619-9109 - Phone
- (530) 600-2835
- NPI assigned
- Aug 29, 2018
- Last updated
- Aug 29, 2018
- Organization subpart
- Yes
- Parent organization
- A WESTFALL DENTAL CORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. April Lyn Westfall, DMD
- Title
- Ceo
- Phone
- (530) 600-2835
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | |||
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
540 Main St
Diamond Springs, CA 95619-9109
Mailing address
PO Box 551167
South Lake Tahoe, CA 96155-1167
Phone (530) 600-2835
Other practice location 1
3358 Sandy Way
South Lake Tahoe, CA 96150-8105
Phone (530) 600-2835
Other names 1
- Diamond Springs Dental Center
National Provider Directory
National Provider Directory- Tax ID family
- A Westfall Dental Corporation
- Part of
- A Westfall Dental Corporation
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Tahoe Valley Dental
- Dental Clinic/Center
- South Lake Tahoe, CA
- NPI 1003468976
-
- Dental Clinic/Center
- South Lake Tahoe, CA
- NPI 1790280980
Locations
540 Pleasant Valley Rd
Diamond Springs, CA 95619
Phone (530) 600-2835
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Dental Clinic/Center
- South Lake Tahoe, CA
- NPI 1790280980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1535500800000",
"number": "1427530161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 551167",
"city": "SOUTH LAKE TAHOE",
"state": "CA",
"postal_code": "961551167",
"telephone_number": "530-600-2835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 MAIN ST",
"city": "DIAMOND SPRINGS",
"state": "CA",
"postal_code": "956199109",
"telephone_number": "530-600-2835"
}
],
"practiceLocations": [
{
"address_1": "3358 Sandy Way",
"address_purpose": "LOCATION",
"city": "South Lake Tahoe",
"state": "CA",
"postal_code": "961508105",
"country_code": "US",
"telephone_number": "530-600-2835",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "A WESTFALL DENTAL CORPORATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "A WESTFALL DENTAL CORPORATION",
"enumeration_date": "2018-08-29",
"last_updated": "2018-08-29",
"status": "A",
"authorized_official_last_name": "WESTFALL",
"authorized_official_first_name": "APRIL",
"authorized_official_middle_name": "LYN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "530-600-2835",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Diamond Springs Dental Center",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Diamond Springs Dental Center",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Diamond Springs, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.