Brock Westover DDS, M.Ed.P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8571 Issued in CO

Legal business name

BROCK WESTOVER DDS, M.ED.P.C.

Doing business as

Elk Avenue Family Dentistry

Practice address

412 Elk Ave.
Crested Butte, CO 81224-1228

Phone

(970) 349-5880

Fax

(970) 349-5880

NPI assigned

May 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Brock B. Westover, D.D.S.

Title

President

Phone

(601) 214-6282

Specialties & licenses 1

Addresses

Other names 1

• Elk Avenue Family Dentistry Doing business as

Practitioners 1

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

• Michael Brian Faktor, DMD

  • Dentist
  • Crested Butte, CO
  • NPI 1508086786
  NPD (past)

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1679780993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1228",
            "city": "CRESTED BUTTE",
            "state": "CO",
            "postal_code": "812241228",
            "telephone_number": "970-349-5880",
            "fax_number": "970-349-9485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 ELK AVE.",
            "city": "CRESTED BUTTE",
            "state": "CO",
            "postal_code": "812241228",
            "telephone_number": "970-349-5880",
            "fax_number": "970-349-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROCK WESTOVER DDS, M.ED.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "WESTOVER",
        "authorized_official_first_name": "BROCK",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-214-6282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "8571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elk Avenue Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Bell-Dumas, MS LPC LLC
• Heather Biery, L.AC.
• Jennifer Chocole Birnie, M.S.W.
• Julie Anne Bremer, PMHNP-BC
• Brighter Image Dental Hygiene Spa, LLC
• Janelle Brown
• Valerie Brust, RN, BSN
• Michael Buisson
• Yolanda Anne Burnite, RMT
• Chicken Skier PC

• General Practice Dentistry in Crested Butte, CO
• Providers in Crested Butte, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.