Organization Active NPI

Wester Dental Care, P.C.

  • General Practice Dentistry
  • Portage, MI
National Provider Identifier
1881718047
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D15368 Issued in MI
Legal business name
WESTER DENTAL CARE, P.C.
Practice address
8191 Moors Bridge Rd
Portage, MI 49024-7416
Phone
(269) 327-1119
Fax
(269) 327-5725
NPI assigned
Mar 16, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Keith E. Wester, D.D.S.NPI 1124142377
Title
Owner
Phone
(269) 327-1119

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D15368 MI Primary

Addresses

Primary practice location

8191 Moors Bridge Rd
Portage, MI 49024-7416

Mailing address

8191 Moors Bridge Rd
Portage, MI 49024-7416
Phone (269) 327-1119

Other identifiers 2

IdentifierTypeStateIssuer
666305OtherMIUNITED CONCORDIA
D15368OtherMIBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

8191 Moorsbridge Rd
Portage, MI 49024
Phone (269) 312-8170

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": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881718047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8191 MOORS BRIDGE RD",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490247416",
            "telephone_number": "269-327-1119",
            "fax_number": "269-327-5725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8191 MOORS BRIDGE RD",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490247416",
            "telephone_number": "269-327-1119",
            "fax_number": "269-327-5725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTER DENTAL CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WESTER",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-327-1119",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "D15368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "666305",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "D15368",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.