Justin Weststeyn, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DEN.00204964 Issued in CO

Practice address

109 Capote Dr
Ignacio, CO 81137

Phone

(970) 563-4719

NPI assigned

Jul 17, 2017

Sex

Male

Sole proprietor

No

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.

• Southern Ute Indian Tribe

  • Federally Qualified Health Center (FQHC)
  • Ignacio, CO
  • NPI 1407883309
  NPD (past)
• Nicholas F. Staarmann, D.D.S., Inc.

  • General Practice Dentistry
  • Harrison, OH
  • NPI 1083789259

  General Practice

  NPD (past)

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 17, 2022.

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1689197170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 CAPOTE DR",
            "city": "IGNACIO",
            "state": "CO",
            "postal_code": "81137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 CAPOTE DR",
            "city": "IGNACIO",
            "state": "CO",
            "postal_code": "81137",
            "telephone_number": "970-563-4719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTSTEYN",
        "first_name": "JUSTIN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-17",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.026091",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00204964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hilbert Ray Vigil
• Monica Wagner, CD(DONA)
• Karen Ann Wallace, MALPC
• Sherry Walls, LMT, LMMT
• Mariellen Walz, BA, MST
• Richard Lyman Wilson, DDS
• Galina Wood, B.S.
• Graciana Wood
• Terrence Rios Word, LCSW
• York Chiropractic PLLC

• All providers in Ignacio, CO
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.