Organization Active NPI

Westmont Dental Salon, P.C.

  • General Practice Dentistry
  • Westmont, IL
National Provider Identifier
1497019301
Registry record updated Jun 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019-026141 Issued in IL
Legal business name
WESTMONT DENTAL SALON, P.C.
Practice address
519 N Cass Ave
Suite 1E
Westmont, IL 60559-1514
Phone
(630) 515-1414
Fax
(630) 515-9729
NPI assigned
Jun 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2012

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

Authorized official

Name
Dr. Wesley Eric Campin, DDSNPI 1689707325
Title
President/Owner
Phone
(630) 515-1414

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 019-026141 IL Primary

Addresses

Primary practice location

519 N Cass Ave
Suite 1E
Westmont, IL 60559-1514

Mailing address

519 N Cass Ave
Suite 1E
Westmont, IL 60559-1514
Phone (630) 515-1414

National Provider Directory

National Provider Directory

Locations

519 N Cass Ave
Ste 1E
Westmont, IL 60559
Phone (630) 515-1414

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": "1340668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340668800000",
    "number": "1497019301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 N CASS AVE",
            "address_2": "SUITE 1E",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591514",
            "telephone_number": "630-515-1414",
            "fax_number": "630-515-9729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 N CASS AVE",
            "address_2": "SUITE 1E",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591514",
            "telephone_number": "630-515-1414",
            "fax_number": "630-515-9729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTMONT DENTAL SALON, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-26",
        "last_updated": "2012-06-26",
        "status": "A",
        "authorized_official_last_name": "CAMPIN",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "630-515-1414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-026141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westmont, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; 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.