Organization Active NPI

Westshore Endodontics, P.C.

  • Endodontics
  • Holland, MI
National Provider Identifier
1649229493
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
2901010230 Issued in MI
Legal business name
WESTSHORE ENDODONTICS, P.C.
Practice address
904 S Washington Ave
Suite 110
Holland, MI 49423-7724
Phone
(616) 392-6385
Fax
(616) 392-9779
NPI assigned
May 9, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. James Ray Howard, D.D.S., M.S.
Title
Endodontist
Phone
(616) 392-6385

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 2901010230 MI Primary

Addresses

Primary practice location

904 S Washington Ave
Suite 110
Holland, MI 49423-7724

Mailing address

904 S Washington Ave
Suite 110
Holland, MI 49423-7724
Phone (616) 392-6385

National Provider Directory

National Provider Directory

Locations

904 Washington Ave
Ste 110
Holland, MI 49423
Phone (616) 392-6385

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": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649229493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 S WASHINGTON AVE",
            "address_2": "SUITE 110",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494237724",
            "telephone_number": "616-392-6385",
            "fax_number": "616-392-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 S WASHINGTON AVE",
            "address_2": "SUITE 110",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494237724",
            "telephone_number": "616-392-6385",
            "fax_number": "616-392-9779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSHORE ENDODONTICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "ENDODONTIST",
        "authorized_official_telephone_number": "616-392-6385",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "MI",
            "license": "2901010230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.