Organization Active NPI

Jcwest DMD PLLC

Doing business as Desert Sun Pediatric Dentistry

  • Pediatric Dentistry
  • Mesa, AZ
National Provider Identifier
1528504628
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
D007997 Issued in AZ
Legal business name
JCWEST DMD PLLC
Doing business as
Desert Sun Pediatric Dentistry
Practice address
2040 E Brown Rd
Mesa, AZ 85213-5222
Phone
(480) 250-5843
NPI assigned
Jan 12, 2017
Last updated
Jan 12, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

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

Authorized official

Name
John Campbell West, DMDNPI 1326336827
Title
Member
Phone
(480) 250-5843

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
Pediatric Dentistry 1223P0221X D007997 AZ Primary

Addresses

Primary practice location

2040 E Brown Rd
Mesa, AZ 85213-5222

Mailing address

4046 E Palo Verde St
Gilbert, AZ 85296-1174

Other names 1

  • Desert Sun Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

2040 E Brown Rd
Mesa, AZ 85213
Phone (480) 250-5843

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": "1484179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484179200000",
    "number": "1528504628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4046 E PALO VERDE ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852961174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 E BROWN RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852135222",
            "telephone_number": "480-250-5843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JCWEST DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-12",
        "last_updated": "2017-01-12",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CAMPBELL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "480-250-5843",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "D007997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Sun Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; 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.