Organization Active NPI

A Westfall Dental Corporation

  • Dental Clinic/Center
  • South Lake Tahoe, CA
National Provider Identifier
1790280980
Registry record updated Mar 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
A WESTFALL DENTAL CORPORATION
Practice address
3358 Sandy Way
South Lake Tahoe, CA 96150-8105
Phone
(530) 600-2835
NPI assigned
Mar 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2018

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

Authorized official

Name
Dr. April L Westfall, DMD
Title
Ceo
Phone
(530) 600-2835

Specialties & licenses 1

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

Addresses

Primary practice location

3358 Sandy Way
South Lake Tahoe, CA 96150-8105

Mailing address

PO Box 551167
South Lake Tahoe, CA 96155-1167
Phone (530) 208-8917

National Provider Directory

National Provider Directory
Tax ID family
A Westfall Dental Corporation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522195200000",
    "number": "1790280980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 551167",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961551167",
            "telephone_number": "530-208-8917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3358 SANDY WAY",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961508105",
            "telephone_number": "530-600-2835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A WESTFALL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-28",
        "last_updated": "2018-03-28",
        "status": "A",
        "authorized_official_last_name": "WESTFALL",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "530-600-2835",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Lake Tahoe, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; 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.