Mark Sampson Winslow II, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

63899 Issued in CA

Practice address

365 Pearson Dr
Suite #2
Porterville, CA 93257-3360

Phone

(808) 284-2746

NPI assigned

Sep 9, 2014

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

Medicare fee-for-service enrollment

Enrolled in CA

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

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.

• Southern Indian Health Council

  • Health Service Clinic/Center
  • Campo, CA
  • NPI 1922090885
  NPD (past)

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410220800000",
    "number": "1144621236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 PEARSON DR",
            "address_2": "SUITE #2",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573360",
            "telephone_number": "808-284-2746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 PEARSON DR",
            "address_2": "SUITE #2",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573360",
            "telephone_number": "808-284-2746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINSLOW",
        "first_name": "MARK",
        "middle_name": "SAMPSON",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-09",
        "last_updated": "2014-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "63899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine K Wilson, PH.D.
• Rebecca T Wilson, IMF84966
• Jamie Diane Wimmer
• Amanda Wingfield
• Josephine Winningham, LCSW
• Stanford Lee Wolfe, D.D.S.
• Yung-Chung Wong, PSY.D.
• Thomas Allan Woodman, RPH
• Howard Lee Wren
• Jimmy Wu, DO

• Dentist in Porterville, CA
• Providers in Porterville, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; 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.