Westfield Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

WESTFIELD DENTAL LLC

Practice address

215 E Main St
Westfield, IN 46074-9395

Phone

(317) 896-5353

NPI assigned

Jan 26, 2018

Organization subpart

No

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

Authorized official

Name

Blake Westra, DMD

Title

Owner

Phone

(314) 660-7780

Specialties & licenses 2

Addresses

Practitioners 1

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

• Jon W Susott, DDS

  • Dentist
  • Westfield, IN
  • NPI 1073626230
  NPD (past)

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

{
    "created_epoch": "1516924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516924800000",
    "number": "1912405762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 E JASPER ST",
            "city": "PARIS",
            "state": "IL",
            "postal_code": "619442437",
            "telephone_number": "217-463-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E MAIN ST",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460749395",
            "telephone_number": "317-896-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTFIELD DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-26",
        "last_updated": "2018-01-26",
        "status": "A",
        "authorized_official_last_name": "WESTRA",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-660-7780",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Micayla Marie West, PA-C
• Alison K Westerkamm
• Alicia Westfall
• Westfield Ambulatory Surgery Center, LLC
• Westfield Dental Care (Simply Dental)
• Westfield Endoscopy Center, LLC
• Westfield Family Dental
• Westfield Foot and Ankle, LLC
• Westfield Pharmacy, Inc.
• Westfield Senior Living, LLC

• General Practice Dentistry in Westfield, IN
• Providers in Westfield, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.