NPIMap

Organization Active NPI

K. Jasinski, D.M.D., P.C.

Doing business as West Edge Dental Care

  • General Practice Dentistry
  • Winston Salem, NC
National Provider Identifier
1003688631
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
K. JASINSKI, D.M.D., P.C.
Doing business as
West Edge Dental Care
Practice address
5595 Robin Lark Cir
Winston Salem, NC 27106-9906
Phone
(743) 999-7937
Fax
(743) 999-7256
NPI assigned
Oct 26, 2023
Last updated
Oct 4, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
K. JASINSKI, D.M.D., P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Authorized official

Name
Belinda Huerta
Title
Credentialing Coordinator
Phone
(217) 540-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

5595 Robin Lark Cir
Winston Salem, NC 27106-9906

Mailing address

5595 Robin Lark Cir
Winston Salem, NC 27106-9906
Phone (743) 999-7937

Other names 1

  • West Edge Dental Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
S Gibree DMD PC82 organizations share this tax ID, including this one
Part of
S Gibree DMD PC

Organizations with this tax ID in the same state 13

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 13

Locations

5595 Robin Lark Cir
Winston Salem, NC 27106
Phone (743) 999-7937

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728000000000",
    "number": "1003688631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5595 ROBIN LARK CIR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271069906",
            "telephone_number": "743-999-7937",
            "fax_number": "743-999-7256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5595 ROBIN LARK CIR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271069906",
            "telephone_number": "743-999-7937",
            "fax_number": "743-999-7256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K. JASINSKI, D.M.D., P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "K. JASINSKI, D.M.D., P.C.",
        "enumeration_date": "2023-10-26",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "HUERTA",
        "authorized_official_first_name": "BELINDA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-2100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Edge Dental Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "West Edge Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.