Kelly Lynn West, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21325 Issued in TX

Practice address

608 E Bailey Boswell Rd
Suite 100
Saginaw, TX 76131-3569

Phone

(817) 234-9378

NPI assigned

Jan 25, 2010

Last updated

Jan 25, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kelly West, DDS Cosmetic & Family Denitstry, PC

  • Dental Clinic/Center
  • Saginaw, TX
  • NPI 1306178249
  NPD (past) Authorized official

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

{
    "created_epoch": "1264377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264377600000",
    "number": "1669703088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 E BAILEY BOSWELL RD",
            "address_2": "SUITE 100",
            "city": "SAGINAW",
            "state": "TX",
            "postal_code": "761313569",
            "telephone_number": "817-234-9378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 E BAILEY BOSWELL RD",
            "address_2": "SUITE 100",
            "city": "SAGINAW",
            "state": "TX",
            "postal_code": "761313569",
            "telephone_number": "817-234-9378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "KELLY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-25",
        "last_updated": "2010-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Wang, DDS
• Michelle Ann Ward, RN
• Sharisse Tanee Watkins, RN
• Watts Enterprises (Home Helpers)
• Waves Theory
• Kimberly Lynn Westmoreland, D.D.S.
• Allen Riddick Williams, D.D.S.
• Audra Ann Williams, FNP
• Isabella Cristina Williams, DC
• Carolyn Woahloe, AGPCNP-BC

• General Practice Dentistry in Saginaw, TX
• Providers in Saginaw, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2010; 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.