Individual provider Active NPI

Mitchell Edmund Westberg, DDS

  • Pediatric Dentistry
  • Bellingham, WA
National Provider Identifier
1972172633
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DENT.DE.70007646 Issued in WA
Practice address
707 W Bakerview Rd
Bellingham, WA 98226-9154
Phone
(360) 671-9979
Fax
(360) 676-6206
NPI assigned
Jun 17, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D11789 OR
Dentist 122300000X 12013658A IN
Pediatric Dentistry 1223P0221X DENT.DE.70007646 WA Primary

Addresses

Primary practice location

707 W Bakerview Rd
Bellingham, WA 98226-9154

Mailing address

707 W Bakerview Rd
Bellingham, WA 98226-9154
Phone (360) 671-9979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D11789ORMDDentist
DENT.DE.70007646WAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Mitchell Edmund Westberg DDS PLLC Pediatric Dentistry CurrentSince Nov 24, 2025 Accepting new patients
Pediatric Dental Associates of Salem Pediatric Dentistry Past Accepting new patients
F & G Investments, LLC Pediatric Dentistry Past Accepting new patients

Locations

707 W Bakerview Rd
Bellingham, WA 98226
Phone (360) 671-9979

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1972172633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 W BAKERVIEW RD",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982269154",
            "telephone_number": "360-671-9979",
            "fax_number": "360-676-6206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 W BAKERVIEW RD",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982269154",
            "telephone_number": "360-671-9979",
            "fax_number": "360-676-6206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTBERG",
        "first_name": "MITCHELL",
        "middle_name": "EDMUND",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-17",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D11789",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12013658A",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DENT.DE.70007646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; 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.