Brock Westover, D.D.S., M-Ed, PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

8571 Issued in CO

Legal business name

BROCK WESTOVER, D.D.S., M-ED, PLLC

Practice address

1440 28TH St
Suite 3
Boulder, CO 80303-1030

Phone

(303) 443-2441

NPI assigned

Jul 29, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Susan K Kjoller

Title

Business Manager

Phone

(303) 420-2871

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1700042850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 28TH ST",
            "address_2": "SUITE 3",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031030",
            "telephone_number": "303-443-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 28TH ST",
            "address_2": "SUITE 3",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031030",
            "telephone_number": "303-443-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROCK WESTOVER, D.D.S., M-ED, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-29",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "KJOLLER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "303-420-2871",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "8571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Boulder, CO
• Providers in Boulder, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.