Organization Active NPI

A Westfall Dental Corporation

  • Dental Clinic/Center
  • Diamond Springs, CA
National Provider Identifier
1427530161
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
A WESTFALL DENTAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 29, 2018

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)CodeLicenseStatePrimary
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 Other name

National Provider Directory

National Provider Directory
Tax ID family
A Westfall Dental Corporation3 organizations share this tax ID, including this one
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.

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.

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.

Verify at the official NPI Registry.