Individual provider Active NPI

Daniel C West, DMD MAGD

  • Dentist
  • New Holland, PA
National Provider Identifier
1699864934
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS022883L Issued in PA
Practice address
650 East Main Street
New Holland, PA 17557
Phone
(717) 354-3200
Fax
(717) 354-8005
NPI assigned
Oct 12, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS022883L PA Primary

Addresses

Primary practice location

650 East Main Street
New Holland, PA 17557

Mailing address

650 East Main Street
New Holland, PA 17557
Phone (717) 354-3200

Other identifiers 2

IdentifierTypeStateIssuer
129364OtherPAUNITED CONCORDIA
022883OtherPADELTA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20150522000454 PA Order and Referring Only - DentistPractitioner - Dentist 0446570063

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS022883LPAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
New Holland Dental Care, PC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699864934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 EAST MAIN STREET",
            "city": "NEW HOLLAND",
            "state": "PA",
            "postal_code": "17557",
            "telephone_number": "717-354-3200",
            "fax_number": "717-354-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 EAST MAIN STREET",
            "city": "NEW HOLLAND",
            "state": "PA",
            "postal_code": "17557",
            "telephone_number": "717-354-3200",
            "fax_number": "717-354-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "DANIEL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DMD MAGD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS022883L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "129364",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA",
            "identifier": "022883",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Holland, PA

Sources for this page

Verify at the official NPI Registry.