Winter Dentistry Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

WINTER DENTISTRY INC.

Practice address

7776 Ivanhoe Ave Ste 100
La Jolla, CA 92037-4575

Phone

(858) 454-1500

NPI assigned

Feb 13, 2023

Organization subpart

Yes

Parent organization

ESPIRE DENTAL HOLDINGSAs reported in NPPES

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

Authorized official

Name

Krysten Garduno

Title

Director of RCM

Phone

(307) 331-8371

Specialties & licenses 1

Addresses

Other names 1

• Espire Dental by Sarah Winter Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charlotte Eugenie Etesse, DDS

  • General Practice Dentistry
  • Solana Beach, CA
  • NPI 1336636240
  NPD (past)

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676246400000",
    "number": "1154028835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7995 E PRENTICE AVE STE 211",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112713",
            "telephone_number": "307-331-8371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7776 IVANHOE AVE STE 100",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374575",
            "telephone_number": "858-454-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINTER DENTISTRY INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ESPIRE DENTAL HOLDINGS",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A",
        "authorized_official_last_name": "GARDUNO",
        "authorized_official_first_name": "KRYSTEN",
        "authorized_official_title_or_position": "DIRECTOR OF RCM",
        "authorized_official_telephone_number": "307-331-8371"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Espire Dental by Sarah Winter",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erin Wiltchik, M.D.
• Windansea Recovery LLC
• Karen E Windoffer, FNP
• Tanya-Sue D. Winey, M.D.
• Jeremy Winkelman, MD
• Kathryn Dianne Winters, M.D.
• Claire Y Wise, MFT
• Ginger L. Wishner, LMFT
• Peter J Witucki, MD
• Douglas Andrew Woelkers, M.D.

• General Practice Dentistry in La Jolla, CA
• Providers in La Jolla, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.