Organization Active NPI

Winter Park Dentistry, P.a.

  • Dental Clinic/Center
  • Wichita, KS
National Provider Identifier
1033317458
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
KS 5342 Issued in KS
Legal business name
WINTER PARK DENTISTRY, P.A.
Practice address
1445 N Ridge Rd
Wichita, KS 67212-2985
Phone
(316) 722-2166
Fax
(316) 722-0949
NPI assigned
Jul 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Authorized official

Name
Dr. Linda L Winter, D.M.D.NPI 1467650887
Title
Doctor
Phone
(316) 722-2166

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X KS 5342 KS Primary

Addresses

Primary practice location

1445 N Ridge Rd
Wichita, KS 67212-2985

Mailing address

1445 N Ridge Rd
Wichita, KS 67212-2985
Phone (316) 722-2166

Other identifiers 2

IdentifierTypeStateIssuer
97-4395OtherKSUNITED CONCORDIA
08-328OtherKSBLUE CROSS BLUE SHIELD

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": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1033317458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 N RIDGE RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672122985",
            "telephone_number": "316-722-2166",
            "fax_number": "316-722-0949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 N RIDGE RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672122985",
            "telephone_number": "316-722-2166",
            "fax_number": "316-722-0949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINTER PARK DENTISTRY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "WINTER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "316-722-2166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "KS",
            "license": "KS 5342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "97-4395",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "08-328",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.