Windsor Pediatric Dentistry PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

10346 Issued in CO

Legal business name

WINDSOR PEDIATRIC DENTISTRY PLLC

Doing business as

Windsor Pediatric Dentistry

Practice address

1299 Main St Unit C
Windsor, CO 80550-5918

Phone

(970) 674-3247

Fax

(970) 460-0865

NPI assigned

Aug 12, 2011

Last updated

Oct 21, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jill Mackenzie Shonka, DDSNPI 1548499205

Title

Owner/Doctor

Phone

(970) 674-3247

Specialties & licenses 1

Addresses

Other names 1

• Windsor Pediatric Dentistry Doing business as

Locations

Practitioners 2

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.

• Jill M Shonka, DDS

  • Pediatric Dentistry
  • Windsor, CO
  • NPI 1548499205
  NPD Authorized official
• Marcy Carpenter, DDS

  • Pediatric Dentistry
  • Windsor, CO
  • NPI 1346898665
  NPD

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

{
    "created_epoch": "1313107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1053690651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1576 MAIN STREET",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "80550",
            "telephone_number": "970-674-3247",
            "fax_number": "970-460-0865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1299 MAIN ST UNIT C",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805505918",
            "telephone_number": "970-674-3247",
            "fax_number": "970-460-0865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDSOR PEDIATRIC DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-12",
        "last_updated": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "SHONKA",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "MACKENZIE",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "970-674-3247",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": "10346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Windsor Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Windsor Dental Partners PLLC (Comfort Dental of Windsor)
• Windsor Eye Care & Vision Center, P.C.
• Windsor Family Clinic, PC
• Windsor Family Dentistry Practice, LLC (Windsor Family Dentistry)
• Windsor Front Range Dentistry (DBA Windsor Family Dentistry, DBA Wellington Family Dentistry)
• Alicia Elizabeth Woll, MS, RD
• Emily Grace Wood
• Alexa C Woods, OTR/L
• Woodsmiles PLLC
• Timothy C Woodworth, LCSW

• Pediatric Dentistry in Windsor, CO
• Providers in Windsor, CO by specialty
• Pediatric Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.