Individual provider Active NPI

Joseph R Winward, DMD

  • Dentist
  • Payson, UT
National Provider Identifier
1023301256
Registry record updated Jan 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7996314-9922 Issued in UT
Practice address
822 Turf Farm Rd
Payson, UT 84651-5709
Phone
(801) 465-4490
NPI assigned
May 20, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7996314-9922 UT Primary

Addresses

Primary practice location

822 Turf Farm Rd
Payson, UT 84651-5709

Mailing address

415 Tanner St
Bonaire, GA 31005-5418
Phone (702) 538-2213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160805001494 UT Order and Referring Only - DentistPractitioner - Dentist 0244524742

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7996314-9922UTMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Cascade Family Dental Past Accepting new patients
Cfdental Spanish Fork PLLC Past Accepting new patients

Organizations & group practices 2

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": "1305849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546560000000",
    "number": "1023301256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 TANNER ST",
            "city": "BONAIRE",
            "state": "GA",
            "postal_code": "310055418",
            "telephone_number": "702-538-2213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 TURF FARM RD",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "846515709",
            "telephone_number": "801-465-4490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINWARD",
        "first_name": "JOSEPH",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-20",
        "last_updated": "2019-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "7996314-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Payson, UT

Sources for this page

Verify at the official NPI Registry.