NPIMap

Organization Active NPI

Wedgewood Dental L.L.C.

  • Dental Clinic/Center
  • Rolla, MO
National Provider Identifier
1710376470
Registry record updated Jan 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
015865 Issued in MO
Legal business name
WEDGEWOOD DENTAL L.L.C.
Practice address
713 Salem Ave Ste a
Rolla, MO 65401-3444
Phone
(573) 368-7325
Fax
(573) 364-7326
NPI assigned
Jan 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2015

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

Authorized official

Name
Dr. :Linda Kay Westmoreland, D.D.S.
Title
Owner
Phone
(573) 368-7325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 015865 MO Primary

Addresses

Primary practice location

713 Salem Ave Ste a
Rolla, MO 65401-3444

Mailing address

713 Salem Ave Ste a
Rolla, MO 65401-3444
Phone (573) 368-7325

National Provider Directory

National Provider Directory

Locations

713 Salem Ave
Ste A
Rolla, MO 65401
Phone (573) 368-7325

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421712000000",
    "number": "1710376470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 SALEM AVE STE A",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654013444",
            "telephone_number": "573-368-7325",
            "fax_number": "573-364-7326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 SALEM AVE STE A",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654013444",
            "telephone_number": "573-368-7325",
            "fax_number": "573-364-7326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEDGEWOOD DENTAL L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-20",
        "last_updated": "2015-01-20",
        "status": "A",
        "authorized_official_last_name": "WESTMORELAND",
        "authorized_official_first_name": ":LINDA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-368-7325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MO",
            "license": "015865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolla, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; 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.