Jordan C West, DDS, MSD.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DE60304405 Issued in WA

Practice address

4801 S 19TH St
Tacoma, WA 98405-1166

Phone

(253) 473-0101

Fax

(253) 473-6328

NPI assigned

May 29, 2008

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• DRS West & West PS

  dba Center For Endodontics

  • Endodontics
  • Tacoma, WA
  • NPI 1508933953
  NPD (past)

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1447418272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 S 19TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051166",
            "telephone_number": "253-473-0101",
            "fax_number": "253-473-6328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 S 19TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051166",
            "telephone_number": "253-473-0101",
            "fax_number": "253-473-6328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "JORDAN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "WA",
            "license": "DE60304405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004011136",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Franklin West, B.A.
• Connie Gail West, LICSW
• Ivey West, M.ED.
• Jason J West, D.D.S., C.A.G.S.
• John David West, D.D.S., M.S.D.
• Kristin Elon West
• Melissa Lesta West, ARNP MIDWIFE
• Raegan Marie West
• Stephany Nicole West
• Steven Ray West, L.M.T.

• Endodontics in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Endodontics in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.