Organization Active NPI

Mark a. Westhoff,D.D.S.,P.C.

  • Dental Clinic/Center
  • Carthage, MO
National Provider Identifier
1689680365
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
MO14349 Issued in MO
Legal business name
MARK A. WESTHOFF,D.D.S.,P.C.
Practice address
626 W Centennial Ave
Carthage, MO 64836-2846
Phone
(417) 358-9006
Fax
(417) 358-3064
NPI assigned
Aug 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mark Alan Westhoff, D.D.S.
Title
President/Ceo
Phone
(417) 358-9006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X MO14349 MO Primary

Addresses

Primary practice location

626 W Centennial Ave
Carthage, MO 64836-2846

Mailing address

626 W Centennial Ave
Carthage, MO 64836-2846
Phone (417) 358-9006

Other names 1

  • Mark A. Westhoff,D.D.S. Former legal business name

National Provider Directory

National Provider Directory

Locations

626 W Centennial Ave
Carthage, MO 64836
Phone (417) 358-1220

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689680365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 W CENTENNIAL AVE",
            "city": "CARTHAGE",
            "state": "MO",
            "postal_code": "648362846",
            "telephone_number": "417-358-9006",
            "fax_number": "417-358-3064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 W CENTENNIAL AVE",
            "city": "CARTHAGE",
            "state": "MO",
            "postal_code": "648362846",
            "telephone_number": "417-358-9006",
            "fax_number": "417-358-3064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A. WESTHOFF,D.D.S.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WESTHOFF",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "417-358-9006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MO",
            "license": "MO14349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mark A. Westhoff,D.D.S.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Carthage, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.