Gunnar West, D.O.

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

License

H5414 Issued in TX

Practice address

2909 S Hampton Rd
E121 Box 26
Dallas, TX 75224-3000

Phone

(214) 330-7028

Fax

(214) 330-8497

NPI assigned

Jul 7, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1831196534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2448 W ILLINOIS AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752331106",
            "telephone_number": "214-330-7028",
            "fax_number": "214-330-8497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 S HAMPTON RD",
            "address_2": "E121 BOX 26",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752243000",
            "telephone_number": "214-330-7028",
            "fax_number": "214-330-8497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "GUNNAR",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "TX",
            "license": "H5414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112788801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aubrey Elizabeth Graham West, PA
• Belinda Kay West, OTR
• Diana West
• Diana N. West, GNP
• Don Maurice West, M.D.
• Jacques West
• James Madison West, MS
• Jill Mary West, PH.D.
• Joseph Lee Brett West, MD
• Kyle West, MS, MA, LPC-A

• Otolaryngology/Facial Plastic Surgery Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Otolaryngology/Facial Plastic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.