Organization Active NPI

Westview Family Dental Care, PLLC

  • General Practice Dentistry
  • Phoenix, AZ
National Provider Identifier
1932262607
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6266 Issued in AZ
Legal business name
WESTVIEW FAMILY DENTAL CARE, PLLC
Practice address
4130 N 108TH Ave
Suite 103-104
Phoenix, AZ 85037-5774
Phone
(623) 772-9600
Fax
(623) 772-9601
NPI assigned
Dec 18, 2006
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
Dr. Charles Bryan Jakobsen, DDSNPI 1235292046
Title
Owner
Phone
(623) 772-9600

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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 6266 AZ Primary

Addresses

Primary practice location

4130 N 108TH Ave
Suite 103-104
Phoenix, AZ 85037-5774

Mailing address

4130 N 108TH Ave
Suite 103-104
Phoenix, AZ 85037-5774
Phone (623) 772-9600

National Provider Directory

National Provider Directory

Locations

4130 N 108th Ave
Ste 103104
Phoenix, AZ 85037
Phone (623) 772-9600

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932262607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 N 108TH AVE",
            "address_2": "SUITE 103-104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850375774",
            "telephone_number": "623-772-9600",
            "fax_number": "623-772-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 N 108TH AVE",
            "address_2": "SUITE 103-104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850375774",
            "telephone_number": "623-772-9600",
            "fax_number": "623-772-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTVIEW FAMILY DENTAL CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JAKOBSEN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-772-9600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "6266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

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.