Organization Active NPI

Payson Dental Care PC

  • General Practice Dentistry
  • Payson, AZ
National Provider Identifier
1053267682
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PAYSON DENTAL CARE PC
Practice address
315 E State Highway 260
Payson, AZ 85541-4930
Phone
(928) 474-2200
NPI assigned
Mar 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Authorized official

Name
Dr. Patrice Staples Winterholler, DDS, FAGDNPI 1730278128
Title
Dentist
Phone
(928) 474-2200

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

315 E State Highway 260
Payson, AZ 85541-4930

Mailing address

315 E State Highway 260
Payson, AZ 85541-4930
Phone (928) 474-2200

National Provider Directory

National Provider Directory

Locations

315 E State Highway 260
Payson, AZ 85541
Phone (928) 474-2200

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": "1772755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772755200000",
    "number": "1053267682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 E STATE HIGHWAY 260",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855414930",
            "telephone_number": "928-474-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E STATE HIGHWAY 260",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855414930",
            "telephone_number": "928-474-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAYSON DENTAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-06",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A",
        "authorized_official_last_name": "WINTERHOLLER",
        "authorized_official_first_name": "PATRICE",
        "authorized_official_middle_name": "STAPLES",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "928-474-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, FAGD"
    },
    "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 Payson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; 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.