OrganizationActive
West Endodontic Group
NPI 1417284480 · Endodontics · Grafton, WI
West Endodontic Group is a Endodontics organization in Grafton, WI (NPI 1417284480).
Provider details
- NPI number
- 1417284480
- Entity type
- Organization
- Primary specialty
- EndodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Kelly West, Owner(262) 377-2668
- License
- 6129-15 (WI)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1245 Cheyenne Ave
Suite 104
Grafton, WI 53024-9323
Phone: (262) 377-2889
Fax: (262) 377-2680
Street-level locationGet directions
Mailing address
1245 Cheyenne Ave
Grafton, WI 53024-9323
Other names (DBA / former)
- Doing business as
- Lakeside Endodontics
Registry dates
- Enumerated
- 2009-11-11
- Last updated
- 2009-11-11
Frequently asked questions
- What is West Endodontic Group's NPI number?
- West Endodontic Group's National Provider Identifier (NPI) is 1417284480, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is West Endodontic Group?
- West Endodontic Group is classified in the NPPES registry as Endodontics (Dental Providers).
- Where is West Endodontic Group located?
- West Endodontic Group's practice location on file with NPPES is 1245 Cheyenne Ave, Grafton, WI 53024-9323.
- What is West Endodontic Group's phone number?
- The practice phone number listed in the NPPES registry for West Endodontic Group is (262) 377-2889.
- Who is the authorized official for West Endodontic Group?
- The authorized official listed on West Endodontic Group's NPPES record is Kelly West, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is West Endodontic Group's NPI active?
- Yes — West Endodontic Group's NPI (1417284480) is active in the NPPES registry as of the last update on 2009-11-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.