Organization Active NPI

West Professional Enterprises, Inc

  • General Practice Dentistry
  • Saint Louis, MO
National Provider Identifier
1447457031
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10542 Issued in MO
Legal business name
WEST PROFESSIONAL ENTERPRISES, INC
Practice address
12115 Tesson Ferry Professional Ctr
Saint Louis, MO 63128-1250
Phone
(314) 842-4366
Fax
(314) 729-1730
NPI assigned
Jun 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Walter Dean West, DDSNPI 1780797316
Title
Dentist
Phone
(314) 842-4366

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 10542 MO Primary

Addresses

Primary practice location

12115 Tesson Ferry Professional Ctr
Saint Louis, MO 63128-1250

Mailing address

12115 Tesson Ferry Professional Ctr
Saint Louis, MO 63128-1250
Phone (314) 842-4366

National Provider Directory

National Provider Directory

Locations

12115 Tesson Ferry Professional Ctr
Saint Louis, MO 63128
Phone (314) 842-4366

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447457031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12115 TESSON FERRY PROFESSIONAL CTR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631281250",
            "telephone_number": "314-842-4366",
            "fax_number": "314-729-1730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12115 TESSON FERRY PROFESSIONAL CTR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631281250",
            "telephone_number": "314-842-4366",
            "fax_number": "314-729-1730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST PROFESSIONAL ENTERPRISES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "314-842-4366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "10542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.