Freeman Lee Waynewood, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8084 Issued in MN

Practice address

393 Dunlap St N Ste 650
Saint Paul, MN 55104-4216

Phone

(651) 647-9697

Fax

(651) 646-2771

NPI assigned

Nov 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Waynewood & Associates, P.a.

  • General Practice Dentistry
  • Saint Paul, MN
  • NPI 1689748295
  NPD (past) Authorized official
• Waynewood & Associates, P.a.

  • General Practice Dentistry
  • Minneapolis, MN
  • NPI 1366681082
  NPD (past)

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201824000000",
    "number": "1063586659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 DUNLAP ST N STE 650",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551044216",
            "telephone_number": "651-647-9697",
            "fax_number": "651-646-2771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 DUNLAP ST N STE 650",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551044216",
            "telephone_number": "651-647-9697",
            "fax_number": "651-646-2771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAYNEWOOD",
        "first_name": "FREEMAN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2008-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "8084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Way-Maker Solutions LLC
• June N Way
• Christa Lane Waymire, M.D.
• Shelley M Wayne Healy, D.P.M
• Waynewood & Associates, P.a.
• Wazuri Incorporated
• WB Garrett Consulting, LLC
• Netsayi Unitas Weah, RN
• Shannon R Weas, DNP, APRN, CNM
• David Weatherby, MD

• General Practice Dentistry in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; 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.