Individual provider Active NPI

Gail D Salickram Winegar, CRDH

  • Dental Hygienist
  • Winter Springs, FL
National Provider Identifier
1114522869
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DH15364 Issued in FL
Practice address
5285 Red Bug Lake Rd
Winter Springs, FL 32708-4900
Phone
(407) 696-4474
NPI assigned
Dec 1, 2020
Last updated
Dec 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X DH15364 FL Primary

Addresses

Primary practice location

5285 Red Bug Lake Rd
Winter Springs, FL 32708-4900

Mailing address

5285 Red Bug Lake Rd Ste 105
Winter Springs, FL 32708-4973
Phone (407) 696-4474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DH15364FLMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Coast Dental P.a. CurrentSince Jun 22, 2021 Accepting new patients
Coast Dental P.a. PastSince Dec 6, 2020 Accepting new patients

Locations

5285 Red Bug Lake Rd
Ste 105
Winter Springs, FL 32708
Phone (407) 696-4474

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1114522869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5285 RED BUG LAKE RD STE 105",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327084973",
            "telephone_number": "407-696-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5285 RED BUG LAKE RD",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327084900",
            "telephone_number": "407-696-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALICKRAM WINEGAR",
        "first_name": "GAIL",
        "middle_name": "D",
        "credential": "CRDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "FL",
            "license": "DH15364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.