Active NPI
Constance West, DDS
- Dentist
- Memphis, TN
National Provider Identifier
1972809580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9403
- Practice address
- 875 Union Ave
Memphis, TN 38163-6210 - Phone
- (901) 448-6476
- NPI assigned
- Jan 28, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 14754 | MD | |
| Dentist | 122300000X | 9403 | TN | Primary |
Addresses
Primary practice location
875 Union Ave
Memphis, TN 38163-6210
Mailing address
875 Union Ave
Memphis, TN 38163-6210
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14754 | MD | MD | Dentist |
| 9403 | TN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352505600000",
"number": "1972809580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "875 UNION AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381636210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "875 UNION AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381636210",
"telephone_number": "901-448-6476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEST",
"first_name": "CONSTANCE",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-28",
"last_updated": "2012-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "14754",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "9403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.