NPIMap

Organization Active NPI

Brian Westfall DDS PA

Doing business as Weatherford Pediatric Dental Associates

  • General Practice Dentistry
  • Weatherford, TX
National Provider Identifier
1720329089
Registry record updated Mar 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19417 Issued in TX
Legal business name
BRIAN WESTFALL DDS PA
Doing business as
Weatherford Pediatric Dental Associates
Practice address
1508 Fort Worth Hwy
Suite 300
Weatherford, TX 76086-4627
Phone
(817) 594-6364
Fax
(817) 594-6364
NPI assigned
Mar 12, 2013
Last updated
Mar 12, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2013

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

Authorized official

Name
Dr. Brian Westfall, DDSNPI 1831204205
Title
Owner
Phone
(254) 857-3702

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 19417 TX Primary

Addresses

Primary practice location

1508 Fort Worth Hwy
Suite 300
Weatherford, TX 76086-4627

Mailing address

1508 Fort Worth Hwy
Suite 300
Weatherford, TX 76086-4627
Phone (817) 594-6364

Other names 1

  • Weatherford Pediatric Dental Associates Doing business as

National Provider Directory

National Provider Directory

Locations

1508 Fort Worth Hwy
Ste 300
Weatherford, TX 76086
Phone (325) 660-3313

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1363046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363046400000",
    "number": "1720329089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 FORT WORTH HWY",
            "address_2": "SUITE 300",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760864627",
            "telephone_number": "817-594-6364",
            "fax_number": "817-594-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 FORT WORTH HWY",
            "address_2": "SUITE 300",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760864627",
            "telephone_number": "817-594-6364",
            "fax_number": "817-594-6364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN WESTFALL DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-12",
        "last_updated": "2013-03-12",
        "status": "A",
        "authorized_official_last_name": "WESTFALL",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-857-3702",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Weatherford Pediatric Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Weatherford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; 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.