Individual provider Active NPI

Robert J Winebrenner, DDS

  • General Practice Dentistry
  • Hagerstown, MD
National Provider Identifier
1023107323
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
04659 Issued in MD
Practice address
322 E Antietam Street
Hagerstown, MD 21740
Phone
(301) 733-3414
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 04659 MD Primary

Addresses

Primary practice location

322 E Antietam Street
Hagerstown, MD 21740

Mailing address

13424 Pennsylvania Ave
Ste 301
Hagerstown, MD 21742-2686
Phone (301) 733-3414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04659MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Winebrenner D.D.S. P.a. CurrentSince Jun 27, 2017 Accepting new patients

Locations

13424 Pennsylvania Ave
Ste 301
Hagerstown, MD 21742
Phone (301) 733-3414

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491264000000",
    "number": "1023107323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13424 PENNSYLVANIA AVE",
            "address_2": "STE 301",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217422686",
            "telephone_number": "301-733-3414",
            "fax_number": "301-733-3626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 E ANTIETAM STREET",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "21740",
            "telephone_number": "301-733-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINEBRENNER",
        "first_name": "ROBERT",
        "middle_name": "J",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2017-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "04659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; 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.