West LPN Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WEST LPN INC

Practice address

3900 W 15TH St
Suite 208
Plano, TX 75075-7751

Phone

(972) 519-8300

Fax

(972) 519-8337

NPI assigned

Nov 29, 2006

Last updated

May 13, 2008By 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

Jeff Henderson

Title

President

Phone

(972) 401-8726

Specialties & licenses 1

Addresses

Other identifiers 3

Tax ID family

West LPN Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• West LPN, Inc.

  dba Internal Medicine of Craig Ranch

  • Internal Medicine Physician
  • Mansfield, TX
  • NPI 1437245313
  NPD tax ID

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1518034933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 W 15TH ST",
            "address_2": "SUITE 208",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750757751",
            "telephone_number": "972-519-8300",
            "fax_number": "972-519-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 W 15TH ST",
            "address_2": "SUITE 208",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750757751",
            "telephone_number": "972-519-8300",
            "fax_number": "972-519-8337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST LPN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-401-8726"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176917601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176917604",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176917603",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chloe Nicole Wenzel, OTR
• Grace Weppner
• Debra Werley, WHNP-BC
• Amber Wersonske, M.A., LPC
• Madison Ashley Werth, DC
• West Park Dental Associates, Inc.
• West Plano Dental, P.a.
• West Plano Diabetes and Endocrine Center, P.a.
• West Plano Eye Care PA (First Eye Care West Plano)
• West Plano Modern Dentistry and Orthodontics, PC (West Plano Modern Dentistry and Orthodontics)

• Family Medicine Physician in Plano, TX
• Providers in Plano, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.