DR. SCOTT WESTRA (NPI# 1538618392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538618392 |
| Entity Type | Individual |
| Full Name | DR. SCOTT WESTRA |
| Credential | D.M.D. |
| Practice Address |
2005 Knight Lane Bldg H Navy Medicine Support Command Attn: Medical Staff Svcs Jacksonville FL 32212-0140 |
| Mailing Address |
58437 Juarez Dr Yucca Valley CA 92284-6322 |
| Practice Telephone | 7607253213 |
| Mailing Telephone | 7607253213 |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2016-09-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
10042412-9922 | UT | Dental Providers |
| Street Address |
2005 KNIGHT LANE BLDG H NAVY MEDICINE SUPPORT COMMAND ATTN: MEDICAL STAFF SVCS |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32212-0140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205828753 | Ruston L Hess | Student in an Organized Health Care Education/Training Program | 2005 Knight Lane Bldg H, Navy Medicine Support Command, Attn: Med Staff Services, Jacksonville, FL 32212-0140 | 2005-08-19 |
| 1346764586 | Nataly Yoncee | Dentist | 2005 Knight Lane Bldg H, Navy Medicine Support Command Attn: Medical Staff Svcs, Jacksonville, FL 32212-0140 | 2017-07-31 |
| 1902354772 | Mark Warner | Dentist | 2005 Knight Lane Bldg H, Navy Medicine Support Command Attn: Medical Staff Svcs, Jacksonville, FL 32212-0140 | 2016-09-21 |
| 1124491352 | Maurice Hardy | Student in an Organized Health Care Education/Training Program | 2005 Knight Lane Bldg H, Attn:medical Staff Services Navy Mecine Support Command, Jacksonville, FL 32212 | 2015-11-10 |
| 1457729931 | Andrew Korcek | Dentist | 2005 Knight Lane Bldg H, Navy Medicine Support Command Attn: Medical Staff Svcs, Jacksonville, FL 32212-0140 | 2015-09-14 |
| 1427434232 | William Paul Alexander | Dentist | 2005 Knight Lane Bldg H, Navy Medicine Support Command Attn: Medical Staff Svcs, Jacksonville, FL 32212-0140 | 2015-08-04 |
| 1023498797 | Chhama Sarawagi | Dentist | 2005 Knight Lane Bldg H, Navy Medicine Support Command, Jacksonville, FL 32212-0140 | 2015-06-08 |
| 1962806901 | Kathrina Sarmiento | Dentist | 2005 Knight Lane Bldg H, Navy Medicine Support Command Attn: Medical Staff Svcs, Jacksonville, FL 32212-0140 | 2014-10-20 |
| 1033528724 | Joseph Jarman | Dentist | 2005 Knight Lane Bldg H, Navy Medicine Support Command Attn: Medical Staff Svcs, Jacksonville, FL 32212-0140 | 2014-08-06 |
| 1659788271 | Adam Peter Bussell | Dentist | 2005 Knight Lane Bldg H, Navy Medicine Support Command Attn: Medical Staff Svcs, Jacksonville, FL 32212-0140 | 2014-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952911752 | Jeff Woohyeok Chang | Dentist | 964 Ajax Street, Jacksonville, FL 32212 | 2020-08-06 |
| 1518484427 | Amy Kathryn Lee | Student in an Organized Health Care Education/Training Program | Bumed, Centralized Credential & Privileging Directorate, 554 Keily Street, Jacksonville, FL 32212 | 2017-08-23 |
| 1659827970 | Noah Fixelle | Dentist | Bureau of Med and Surg Ccpd, 554 Keily Street, Jacksonville, VA 32212 | 2016-08-28 |
| 1972953339 | Colin Kenneth Kelly | General Practice | Bureau of Medicine & Surgery Detachment, Nas Jacksonville, Building 554, Jacksonville, FL 32212 | 2016-06-16 |
| 1912382359 | Caitlyn Brooke Hoysock | Dentist | 554 Keiley Street, Bureau of Medicine and Surgery - Credentials, Jacksonville, FL 32212 | 2015-07-28 |
| 1285017418 | John Alexander Ruch | Dentist | 554 Keily Street Bureau of Med and Surg Ccpd, Jacksonville, FL 32212 | 2015-07-07 |
| 1407238561 | Amanda Mona Lau | Student in an Organized Health Care Education/Training Program | 554 Kelly Street, Attn Centralized Credentialing, Bureau of Medicine and Surgery, Jacksonville, FL 32212 | 2015-06-25 |
| 1063894715 | Heather Dehaan | Family Medicine | 554 Kelly Street Bureau of Medicine and Surgery, Attention: Centralized Credentialing & Privileging Dire, Jacksonville, FL 32212 | 2015-06-18 |
| 1912389677 | Catherine Garcia | Student in an Organized Health Care Education/Training Program | 554 Kelly St, Credentialing & Privileging Directorate, Bureau of Medicine & Surgery, Attention: Centralized, Jacksonville, FL 32212 | 2015-06-18 |
| 1255712675 | James Robert Benson | Dentist | 734 Keily Street, Bumed, Jacksonville, FL 32212 | 2015-06-11 |
| Find all providers in zip 32212 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962018424 | Sydney Fowler | Dentist | 12276 San Jose Blvd Ste 314, Jacksonville, FL 32223-8632 | 2020-09-21 |
| 1871106260 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 4445 Town Center Pkwy, Jacksonville, FL 32246-8565 | 2020-08-26 |
| 1831710771 | Mark William Russell | Dentist | 461 Western Blvd Ste 104, Jacksonville, NC 28546-7637 | 2020-05-01 |
| 1205476496 | Point Meadows Dental Center, Inc. | Dentist | 10915 Baymeadows Rd, #106, Jacksonville, FL 32256 | 2020-01-15 |
| 1659923118 | San Jose Aspen Pllc | Dentist | 10502 San Jose Blvd Ste B, Jacksonville, FL 32257-6209 | 2019-07-15 |
| 1326603176 | Evens Family Dental | Dentist | 13107 Atlantic Blvd, Jacksonville, FL 32225-7127 | 2019-05-07 |
| 1487123006 | Susan Prater Kudlats, D.m.d, P.a. | Dentist | 12620 Beach Blvd Ste 18, Jacksonville, FL 32246-7130 | 2018-11-14 |
| 1043792534 | Atlantic Dentistry Pa | Dentist | 13474 Atlantic Blvd Ste 109, Jacksonville, FL 32225-0100 | 2018-08-31 |
| 1447738620 | Argyle Dental Pllc | Dentist | 6001 Argyle Forest Blvd Ste 4, Jacksonville, FL 32244-6127 | 2018-07-31 |
| 1427534445 | Sandeep Chunduru | Dentist | 571 Yopp Rd Ste 308, Jacksonville, NC 28540-3683 | 2018-07-12 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32212 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.