Active NPI
Henry Cooke Windell, DMD
- Oral and Maxillofacial Pathology Dentistry
- Gresham, OR
National Provider Identifier
1063413722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Pathology Dentistry
- License
- D4283
- Practice address
- 24850 SE Stark St
Gresham, OR 97030-8316 - Phone
- (503) 665-7882
- Fax
- (503) 665-6983
- NPI assigned
- Aug 3, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Pathology Dentistry | 1223P0106X | D4283 | OR | Primary |
Addresses
Primary practice location
24850 SE Stark St
Gresham, OR 97030-8316
Mailing address
24850 SE Stark St
Gresham, OR 97030-8317
Phone (503) 665-7882
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130913000556 | OR | Order and Referring Only - Oral Surgery | 7416039896 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D4283 | OR | MD | Oral and Maxillofacial Pathology Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1063413722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24850 SE STARK ST",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970308317",
"telephone_number": "503-665-7882",
"fax_number": "503-665-6983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24850 SE STARK ST",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970308316",
"telephone_number": "503-665-7882",
"fax_number": "503-665-6983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINDELL",
"first_name": "HENRY",
"middle_name": "COOKE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-03",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0106X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Pathology",
"state": "OR",
"license": "D4283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.