Brookside Dental-West Linn LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D7444 Issued in OR

Legal business name

BROOKSIDE DENTAL-WEST LINN LLC

Practice address

22400 Salamo Rd Ste 102
West Linn, OR 97068-8269

Phone

(503) 723-8722

NPI assigned

Nov 23, 2015

Last updated

Nov 23, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brian Reed Westover, DMDNPI 1376532291

Title

Owner/Dentist

Phone

(503) 723-8722

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian Reid Westover, DMD

  • General Practice Dentistry
  • West Linn, OR
  • NPI 1376532291
  Authorized official Same address or phone

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

{
    "created_epoch": "1448236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448236800000",
    "number": "1477927820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22400 SALAMO RD STE 102",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970688269",
            "telephone_number": "503-723-8722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22400 SALAMO RD STE 102",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970688269",
            "telephone_number": "503-723-8722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKSIDE DENTAL-WEST LINN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-23",
        "last_updated": "2015-11-23",
        "status": "A",
        "authorized_official_last_name": "WESTOVER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "REED",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "503-723-8722",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D7444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudia Jean Brisbin, CRNA
• Michael Lynn Brisbin, CRNA
• Barbara Holzknecht Briscoe, O.D.
• William Todd Briscoe, O.D.
• Visnja Brooks, LCSW
• Martin Allen Brother, L.AC.
• Laura Ann Brown, LPC, LAT, ATR
• Michael Francis Bryant, D.C.
• Nancy R Bryant, PHD
• Kathleen Parson Bufford, LMFT

• General Practice Dentistry in West Linn, OR
• Providers in West Linn, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2015; 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.