Active NPI
Eric Winterton DDS PLLC
- Dental Clinic/Center
- Kennewick, WA
National Provider Identifier
1215326202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- DE60232632
- Legal business name
- ERIC WINTERTON DDS PLLC
- Practice address
- 3911 W 27TH Ave Ste 105
Kennewick, WA 99337-2483 - Phone
- (509) 581-0081
- NPI assigned
- Jan 14, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Eric Winterton, DDS
- Title
- Dentist
- Phone
- (509) 581-0081
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | DE60232632 | WA | Primary |
Addresses
Primary practice location
3911 W 27TH Ave Ste 105
Kennewick, WA 99337-2483
Mailing address
3911 W 27TH Ave Ste 105
Kennewick, WA 99337-2483
Phone (509) 581-0081
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2038359 | Medicaid | WA |
Other names 1
- Southridge Dental
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421193600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1421193600000",
"number": "1215326202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3911 W 27TH AVE STE 105",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993372483",
"telephone_number": "509-581-0081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3911 W 27TH AVE STE 105",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993372483",
"telephone_number": "509-581-0081"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ERIC WINTERTON DDS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-14",
"last_updated": "2015-01-14",
"status": "A",
"authorized_official_last_name": "WINTERTON",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "509-581-0081",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "WA",
"license": "DE60232632",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2038359",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Southridge Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kennewick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.