Active NPI
E Judd West Jr., DDS
- General Practice Dentistry
- Ogden, UT
National Provider Identifier
1679613673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1359419922
- Practice address
- 3860 Jackson Ave
Suite 6
Ogden, UT 84403-1956 - Phone
- (801) 627-0420
- Fax
- (801) 627-0421
- NPI assigned
- Feb 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1359419922 | UT | Primary |
Addresses
Primary practice location
3860 Jackson Ave
Suite 6
Ogden, UT 84403-1956
Mailing address
4687 Jefferson Ave
Ogden, UT 84403-3822
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1359419922 | UT | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| E Judd West DDS | General Practice | Past | Accepting new patients |
| Bonneville Preventive Dentistry PLLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Ogden, UT
- NPI 1255776431
-
- General Practice Dentistry
- Ogden, UT
- NPI 1952443772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679613673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4687 JEFFERSON AVE",
"city": "OGDEN",
"state": "UT",
"postal_code": "844033822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3860 JACKSON AVE",
"address_2": "SUITE 6",
"city": "OGDEN",
"state": "UT",
"postal_code": "844031956",
"telephone_number": "801-627-0420",
"fax_number": "801-627-0421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEST",
"first_name": "E",
"middle_name": "JUDD",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "UT",
"license": "1359419922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.