Geoff West

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4044 Issued in AR

Practice address

201 Rice St
Berryville, AR 72616-4388

Phone

(870) 423-6963

Fax

(870) 423-2109

NPI assigned

Sep 9, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441756800000",
    "number": "1508234436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 RICE ST",
            "city": "BERRYVILLE",
            "state": "AR",
            "postal_code": "726164388",
            "telephone_number": "870-423-6963",
            "fax_number": "870-423-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 RICE ST",
            "city": "BERRYVILLE",
            "state": "AR",
            "postal_code": "726164388",
            "telephone_number": "870-423-6963",
            "fax_number": "870-423-2109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "GEOFF",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-09",
        "last_updated": "2015-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "4044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milo Nelson Warner, D.O.
• Watchcare Anesthesia, Inc.
• Adriann Jade Watson, OTR/L
• Merry Faith Watson, MHPP
• Shelly Weathereal
• Taesha Cybille Nicole Winford, FNP
• Allison Jane Wisdom
• Marlinda Wyatt
• Carol Ann Wynn
• Kallie Marie Young Raper

• General Practice Dentistry in Berryville, AR
• Providers in Berryville, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.