West & Ehlis Orthodontic Management Company LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

1969 Issued in ND

Legal business name

WEST & EHLIS ORTHODONTIC MANAGEMENT COMPANY LLC

Practice address

4710 Amber Valley Pkwy S
Suite B
Fargo, ND 58104-8694

Phone

(701) 293-5300

Fax

(701) 293-3317

NPI assigned

Jul 20, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Ryan Martin West, DDS

Title

President

Phone

(701) 293-5300

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Emerson Russell Ehlis, DMD, MSD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fargo, ND
  • NPI 1295063980
  NPD (past)

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

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437350400000",
    "number": "1609250620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 AMBER VALLEY PKWY S",
            "address_2": "SUITE B",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048694",
            "telephone_number": "701-293-5300",
            "fax_number": "701-293-3317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 AMBER VALLEY PKWY S",
            "address_2": "SUITE B",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048694",
            "telephone_number": "701-293-5300",
            "fax_number": "701-293-3317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST & EHLIS ORTHODONTIC MANAGEMENT COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-20",
        "last_updated": "2015-07-20",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-293-5300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "ND",
            "license": "1969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mandee L. Wersinger, LSW
• Aaron Werth
• Telpeh G Wesseh I
• Bruce Henry Wessman, PT
• Henry Clair Wessman, P.T.
• West Acres Pharmacy Inc
• Medora Caroline West-Roehl, D.M.D.
• Danielle Jean West, RN
• Jenny West
• Ryan M West, DDS

• Orthodontics and Dentofacial Orthopedics Dentistry in Fargo, ND
• Providers in Fargo, ND by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; 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.