Winemiller Family Dentistry, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

2010022548 Issued in MO

Legal business name

WINEMILLER FAMILY DENTISTRY, LLC

Doing business as

Brookside Family Dentistry

Practice address

31 Ofallon SQ
O Fallon, MO 63366-3034

Phone

(636) 240-1750

NPI assigned

Nov 6, 2017

Last updated

Nov 6, 2017By 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. Maria-Antonia Winemiller, DMDNPI 1770897035

Title

Dentist

Phone

(618) 520-5175

Specialties & licenses 1

Addresses

Other names 1

• Brookside Family Dentistry Doing business as

Practitioners 1

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.

• Maria-Antonia Winemiller

  • General Practice Dentistry
  • Warrenton, MO
  • NPI 1770897035
  NPD Authorized official

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

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509926400000",
    "number": "1073026670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 BOSCHERT CREEK DR",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633765954",
            "telephone_number": "618-520-5175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 OFALLON SQ",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633663034",
            "telephone_number": "636-240-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINEMILLER FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-06",
        "last_updated": "2017-11-06",
        "status": "A",
        "authorized_official_last_name": "WINEMILLER",
        "authorized_official_first_name": "MARIA-ANTONIA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "618-520-5175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MO",
            "license": "2010022548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookside Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kalissa Lynn Wilson, MS CCC-SLP
• Katelynn Wilson
• Margaret Ann Wilson, CCC SLP
• Nicholas B Wilson, M.D.
• Rachael Elizabeth Wilson, PLPC
• Winghaven Chiropractic PC
• Winghaven Pediatrics LLC
• Winghaven Womens Care Inc.
• Winghavenllc (Park Place)
• Caitlin Winkler, M.S., PLPC

• Dental Clinic/Center in O'Fallon, MO
• Providers in O'Fallon, MO by specialty
• Dental Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2017; 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.