NPIMap

Organization Active NPI

Westville Family Dentistry

  • Dental Clinic/Center
  • Westville, IN
National Provider Identifier
1568938629
Registry record updated Oct 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
WESTVILLE FAMILY DENTISTRY
Practice address
444 N Flynn Rd
Westville, IN 46391-9647
Phone
(219) 613-7828
Fax
(219) 785-4000
NPI assigned
Oct 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2018

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

Authorized official

Name
Dr. David Reed, DDSNPI 1588858252
Title
Owner/Dentist
Phone
(219) 613-7828

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

444 N Flynn Rd
Westville, IN 46391-9647

Mailing address

444 N Flynn Rd
Westville, IN 46391-9647
Phone (219) 613-7828

National Provider Directory

National Provider Directory

Locations

444 N Flynn Rd
Westville, IN 46391
Phone (219) 613-7828

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539648000000",
    "number": "1568938629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 N FLYNN RD",
            "city": "WESTVILLE",
            "state": "IN",
            "postal_code": "463919647",
            "telephone_number": "219-613-7828",
            "fax_number": "219-785-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 N FLYNN RD",
            "city": "WESTVILLE",
            "state": "IN",
            "postal_code": "463919647",
            "telephone_number": "219-613-7828",
            "fax_number": "219-785-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTVILLE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-16",
        "last_updated": "2018-10-16",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "219-613-7828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.