Individual provider Active NPI

Edith Colette Weststeyn, DDS

  • Pediatric Dentistry
  • Durango, CO
National Provider Identifier
1437405503
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
00204997 Issued in CO
Practice address
20 Pioneer Ave
Durango, CO 81301-8009
Phone
(970) 259-0600
NPI assigned
Jul 26, 2012
Last updated
Jun 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2017017285 MO
Dental Hygienist 124Q00000X DH3361 NM
Pediatric Dentistry 1223P0221X 00204997 CO Primary

Addresses

Primary practice location

20 Pioneer Ave
Durango, CO 81301-8009

Mailing address

175 Metz LN Apt 304
Durango, CO 81301-7828
Phone (505) 402-6000

Other practice location 1

Division Of Dental Hygiene Msc09 5020
1 University of New Mexico
Albuquerque, NM 87131-0001
Phone (505) 272-8205

Other practice location 2

3333 Burnet Ave
Cincinnati, OH 45229-3026
Phone (513) 636-4700

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
00204997COMDPediatric Dentist
DH3361NMMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Durango Kids Pediatric Dentistry, P.C. Pediatric Dentistry CurrentSince Jun 21, 2022 Accepting new patients
Durango Kids Pediatric Dentistry General Partnership Pediatric Dentistry CurrentSince Jan 19, 2025 Accepting new patients
Samuel U. Rodgers Health Center, Inc. Current Accepting new patients

Locations

20 Pioneer Ave
Durango, CO 81301
Phone (970) 259-0600

825 Euclid Ave
Kansas City, MO 64124
Phone (816) 889-4816

811 S Business Highway 13
Ste A
Lexington, MO 64067
Phone (660) 259-3823

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1343260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1437405503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 METZ LN APT 304",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017828",
            "telephone_number": "505-402-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PIONEER AVE",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813018009",
            "telephone_number": "970-259-0600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Division Of Dental Hygiene Msc09 5020",
            "address_2": "1 University of New Mexico",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871310001",
            "country_code": "US",
            "telephone_number": "505-272-8205",
            "fax_number": "505-272-5584",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3333 Burnet Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452293026",
            "country_code": "US",
            "telephone_number": "513-636-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WESTSTEYN",
        "first_name": "EDITH",
        "middle_name": "COLETTE",
        "name_prefix": "Miss",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-26",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2017017285",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NM",
            "license": "DH3361",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": "00204997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.