Individual provider Active NPI

Dawn M West, DMD

  • Dentist
  • New Bedford, MA
National Provider Identifier
1497893721
Registry record updated Feb 28, 2017
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Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
17928 Issued in MA
Practice address
874 Purchase St
New Bedford, MA 02740-6232
Phone
(508) 992-6553
Fax
(508) 984-8420
NPI assigned
Feb 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 17928 MA Primary

Addresses

Primary practice location

874 Purchase St
New Bedford, MA 02740-6232

Mailing address

874 Purchase St
New Bedford, MA 02740-6232
Phone (508) 992-6553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160302000747 MA Order and Referring Only - DentistPractitioner - Dentist 2668777558

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17928MAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1497893721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "874 PURCHASE ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027406232",
            "telephone_number": "508-992-6553",
            "fax_number": "508-984-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "874 PURCHASE ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027406232",
            "telephone_number": "508-992-6553",
            "fax_number": "508-984-8420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "DAWN",
        "middle_name": "M",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "17928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bedford, MA

Sources for this page

Verify at the official NPI Registry.