John Alvin Winder Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9272 Issued in TX

Practice address

501 S Washburn St
Decatur, TX 76234-1637

Phone

(940) 627-2514

Fax

(940) 627-1558

NPI assigned

Aug 21, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219276800000",
    "number": "1114174166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S WASHBURN ST",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762341637",
            "telephone_number": "940-627-2514",
            "fax_number": "940-627-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S WASHBURN ST",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762341637",
            "telephone_number": "940-627-2514",
            "fax_number": "940-627-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINDER",
        "first_name": "JOHN",
        "middle_name": "ALVIN",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-21",
        "last_updated": "2008-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "9272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "751571959",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Westbay, MS, CCC-SLP
• Sheryl A White, LCDC
• Cari Whittenburg, LCSW
• Beth Renee Wieser, D.O.
• Jennifer Lynne Williams, PTA, BS
• Paige Lynette Winder, D.D.S.
• Wise Anesthesia, PA
• Wise CCC
• Wise Choices Pregnancy Resource Center
• Wise County Anesthesia Associates

• General Practice Dentistry in Decatur, TX
• Providers in Decatur, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; 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.

Verify at the official NPI Registry.