Organization Active NPI

Westmoor Dental Center

  • General Practice Dentistry
  • Columbus, OH
National Provider Identifier
1427731330
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WESTMOOR DENTAL CENTER
Practice address
455 Industrial Mile Rd
Columbus, OH 43228-2482
Phone
(614) 274-1212
Fax
(614) 274-1215
NPI assigned
Aug 8, 2023
Last updated
Aug 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Authorized official

Name
Mrs. Regina L Crockett
Title
Office Manager
Phone
(614) 274-1212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

455 Industrial Mile Rd
Columbus, OH 43228-2482

Mailing address

455 Industrial Mile Rd
Columbus, OH 43228-2482
Phone (614) 274-1212

Other identifiers 1

IdentifierTypeStateIssuer
0184474MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691452800000",
    "number": "1427731330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 INDUSTRIAL MILE RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432282482",
            "telephone_number": "614-274-1212",
            "fax_number": "614-274-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 INDUSTRIAL MILE RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432282482",
            "telephone_number": "614-274-1212",
            "fax_number": "614-274-1215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTMOOR DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-08",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A",
        "authorized_official_last_name": "CROCKETT",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "614-274-1212",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0184474",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.