NPIMap

Organization Active NPI

Windsor Family Dental, S.C.

  • General Practice Dentistry
  • Windsor, WI
National Provider Identifier
1003023367
Registry record updated Nov 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WINDSOR FAMILY DENTAL, S.C.
Practice address
6729 Lake Road
Windsor, WI 53598-0000
Phone
(608) 846-5407
Fax
(608) 846-2493
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2014

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

Authorized official

Name
William J Endicott, D.D.S.
Title
Owner
Phone
(608) 846-5407

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

6729 Lake Road
Windsor, WI 53598-0000

Mailing address

6729 Lake Road
PO Box 287
Windsor, WI 53598-0000
Phone (608) 846-5407

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415577600000",
    "number": "1003023367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6729 LAKE ROAD",
            "address_2": "PO BOX 287",
            "city": "WINDSOR",
            "state": "WI",
            "postal_code": "535980000",
            "telephone_number": "608-846-5407",
            "fax_number": "608-846-2493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6729 LAKE ROAD",
            "city": "WINDSOR",
            "state": "WI",
            "postal_code": "535980000",
            "telephone_number": "608-846-5407",
            "fax_number": "608-846-2493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDSOR FAMILY DENTAL, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2014-11-10",
        "status": "A",
        "authorized_official_last_name": "ENDICOTT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-846-5407",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; 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.