Westberry Dental LLC

Primary specialty

DentistTaxonomy code 122300000X

License

9504 Issued in FL

Legal business name

WESTBERRY DENTAL LLC

Practice address

3120 S Ridgewood Ave
South Daytona, FL 32119-3548

Phone

(386) 761-8822

Fax

(386) 761-8842

NPI assigned

Apr 7, 2015

Last updated

Apr 7, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Rhonda Keen, DENTAL ASST

Title

Office Manager

Phone

(386) 761-8822

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.

• Richard S Westberry, D.M.D.

  • Dentist
  • South Daytona, FL
  • NPI 1902815509
  NPD (past)

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428364800000",
    "number": "1932595998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 S RIDGEWOOD AVE",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321193548",
            "telephone_number": "386-761-8822",
            "fax_number": "386-761-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 S RIDGEWOOD AVE",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321193548",
            "telephone_number": "386-761-8822",
            "fax_number": "386-761-8842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTBERRY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-07",
        "last_updated": "2015-04-07",
        "status": "A",
        "authorized_official_last_name": "KEEN",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "386-761-8822",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DENTAL ASST"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "9504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Wagner, DPT, PT
• Mitchell Ryan Walker, D.P.T.
• Heather Walsh
• We Are One Chiropractic, P.L.
• Adrianna Andrews Weber, PA-C
• Richard S Westberry, D.M.D.
• Westcare Health Services, PA
• Whole Soul Therapy and Emdr LLC
• Jessica Wigginton
• Elizabeth Summer Wigle

• Dentist in South Daytona, FL
• Providers in South Daytona, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; 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.