Dr John S Wingfield PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

M252 Issued in SD

Legal business name

DR JOHN S WINGFIELD PC

Practice address

510 West Havens St
Mitchell, SD 57301-0490

Phone

(605) 996-6211

Fax

(605) 996-6213

NPI assigned

Sep 11, 2006

Last updated

Aug 22, 2020By 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. John Stuart Wingfield, DDS

Title

Owner President

Phone

(605) 996-6211

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194829101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573010490",
            "telephone_number": "605-996-6211",
            "fax_number": "605-996-6213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 WEST HAVENS ST",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573010490",
            "telephone_number": "605-996-6211",
            "fax_number": "605-996-6213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JOHN S WINGFIELD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WINGFIELD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "STUART",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "605-996-6211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "M252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7800570",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.