NPIMap

Organization Active NPI

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

Doing business as Elk Avenue Family Dentistry

  • General Practice Dentistry
  • Crested Butte, CO
National Provider Identifier
1679780993
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
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
Last updated
Jun 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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.NPI 1700949518
Title
President
Phone
(601) 214-6282

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 8571 CO Primary

Addresses

Primary practice location

412 Elk Ave.
Crested Butte, CO 81224-1228

Mailing address

PO Box 1228
Crested Butte, CO 81224-1228
Phone (970) 349-5880

Other names 1

  • Elk Avenue Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "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"
        }
    ]
}

Other providers in Crested Butte, CO

Sources for this page

  • 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.