NPIMap

Organization Active NPI

Danny Paul Windham DDS PC

  • General Practice Dentistry
  • Center, TX
National Provider Identifier
1215263199
Registry record updated Feb 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12393 Issued in TX
Legal business name
DANNY PAUL WINDHAM DDS PC
Practice address
406 Cora St
Center, TX 75935-3611
Phone
(936) 598-2923
Fax
(936) 598-6412
NPI assigned
Oct 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2010

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

Authorized official

Name
Mrs. Sally Janice Windham
Title
Office Administrator
Phone
(936) 598-2923

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 12393 TX Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 23976 TX
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 23935 TX

Addresses

Primary practice location

406 Cora St
Center, TX 75935-3611

Mailing address

406 Cora St
Center, TX 75935-3610
Phone (936) 598-2923

Other identifiers 3

IdentifierTypeStateIssuer
2070120-01MedicaidTX
2070096-01MedicaidTX
2075038-01MedicaidTX

Other names 1

  • Windham Family Dental Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266451200000",
    "number": "1215263199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 CORA ST",
            "city": "CENTER",
            "state": "TX",
            "postal_code": "759353610",
            "telephone_number": "936-598-2923",
            "fax_number": "936-598-6412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 CORA ST",
            "city": "CENTER",
            "state": "TX",
            "postal_code": "759353611",
            "telephone_number": "936-598-2923",
            "fax_number": "936-598-6412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANNY PAUL WINDHAM DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-27",
        "last_updated": "2010-02-18",
        "status": "A",
        "authorized_official_last_name": "WINDHAM",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "JANICE",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "936-598-2923",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "12393",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23976",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23935",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2070120-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2070096-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2075038-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Windham Family Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Center, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; 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.