Organization Active NPI

Keith West DMD

  • Dental Clinic/Center
  • Show Low, AZ
National Provider Identifier
1497247431
Registry record updated Jun 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
AZ5444 Issued in AZ
Legal business name
KEITH WEST DMD
Practice address
301 N Central Ave
Show Low, AZ 85901-4712
Phone
(928) 537-4363
NPI assigned
Jun 5, 2018
Last updated
Jun 5, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2018

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

Authorized official

Name
Mrs. Leiann Fish
Title
Office Manager
Phone
(928) 537-4363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X AZ5444 AZ Primary

Addresses

Primary practice location

301 N Central Ave
Show Low, AZ 85901-4712

Mailing address

301 N Central Ave
Show Low, AZ 85901-4712
Phone (928) 537-4363

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528156800000",
    "number": "1497247431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N CENTRAL AVE",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859014712",
            "telephone_number": "928-537-4363",
            "fax_number": "928-537-3739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N CENTRAL AVE",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859014712",
            "telephone_number": "928-537-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH WEST DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-05",
        "last_updated": "2018-06-05",
        "status": "A",
        "authorized_official_last_name": "FISH",
        "authorized_official_first_name": "LEIANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "928-537-4363",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AZ",
            "license": "AZ5444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Show Low, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; 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.