Westbrook Dental Center, P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

WESTBROOK DENTAL CENTER, P.A.

Practice address

9276 W Union Hills Dr Ste a
Peoria, AZ 85382-8206

Phone

(623) 972-6137

Fax

(623) 972-6334

NPI assigned

Oct 31, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Johnny L Smith, DMDNPI 1629075130

Title

Director/President/Owner

Phone

(623) 972-6137

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• DR. JOHNNY LEE SMITH, D.M.D. Other name

Practitioners 1

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

• Johnny Lee Smith, D.M.D.

  • General Practice Dentistry
  • Peoria, AZ
  • NPI 1629075130
  NPD (past) Authorized official

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578268800000",
    "number": "1982248084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9276 W UNION HILLS DR STE A",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853828206",
            "telephone_number": "623-972-6137",
            "fax_number": "623-972-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9276 W UNION HILLS DR STE A",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853828206",
            "telephone_number": "623-972-6137",
            "fax_number": "623-972-6334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTBROOK DENTAL CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-31",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR/PRESIDENT/OWNER",
        "authorized_official_telephone_number": "623-972-6137",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1629075130",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "4489",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DR. JOHNNY LEE SMITH, D.M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Curtis Ivan West, DMD
• Jill A West, PA-C
• Takisha West, LPN
• Westbrook Vision Center PLC
• Western Anesthesia Group LLC
• Western Dental of Arizona, Inc.
• Western Med Group LLC
• Western Med Group LLC

• General Practice Dentistry in Peoria, AZ
• Providers in Peoria, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.