Individual provider Active NPI

Kim Jean Westermann, DMD

  • General Practice Dentistry
  • Louisville, KY
National Provider Identifier
1467540278
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6120 Issued in KY
Practice address
3200 Westport Green PL
Louisville, KY 40241-3136
Phone
(502) 426-1022
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6120 KY Primary

Addresses

Primary practice location

3200 Westport Green PL
Louisville, KY 40241-3136

Mailing address

3200 Westport Green PL
Louisville, KY 40241-3136
Phone (502) 426-1022

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
6120KYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Westermann Family Dentistry PLLC General Practice Current Accepting new patients

Locations

10212 Westport Rd
Louisville, KY 40241
Phone (502) 426-1022

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467540278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 WESTPORT GREEN PL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402413136",
            "telephone_number": "502-426-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 WESTPORT GREEN PL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402413136",
            "telephone_number": "502-426-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTERMANN",
        "first_name": "KIM",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "6120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.