West Shores Surgical Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

WEST SHORES SURGICAL CENTER

Practice address

2792 S 5600 W
Suite a
West Valley City, UT 84120-5590

Phone

(801) 969-9669

Fax

(801) 969-9779

NPI assigned

Jul 13, 2011

Last updated

Jul 13, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

NO HODADS LLCAs reported in NPPES

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

Authorized official

Name

Dr. Gregory Biddulph, D.M.D.

Title

Owner

Phone

(801) 969-9669

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Jason Gerard Mandelaris, D.M.D.

  • Pediatric Dentistry
  • Lindon, UT
  • NPI 1811144785
  NPD

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

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310515200000",
    "number": "1922396720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2792 S 5600 W",
            "address_2": "SUITE A",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841205590",
            "telephone_number": "801-969-9669",
            "fax_number": "801-969-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2792 S 5600 W",
            "address_2": "SUITE A",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841205590",
            "telephone_number": "801-969-9669",
            "fax_number": "801-969-9779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SHORES SURGICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NO HODADS LLC",
        "enumeration_date": "2011-07-13",
        "last_updated": "2011-07-13",
        "status": "A",
        "authorized_official_last_name": "BIDDULPH",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-969-9669",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Welker
• Taylor Joffrion Wellborn, CSW
• Emily Werner I, LCSW
• West 56TH Dental Associates, Inc
• West Counseling Offices
• West Valley City (West Valley Ambulance)
• West Valley Eye LLC
• West Valley Family and Preventive (West Valley Family and Preventive Medicine)
• West Valley Family Clinic
• West Valley Home Health Care Inc

• Ambulatory Surgical Clinic/Center in West Valley City, UT
• Providers in West Valley City, UT by specialty
• Ambulatory Surgical Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2011; 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.