Organization Active NPI

Eric Winterton DDS PLLC

  • Dental Clinic/Center
  • Kennewick, WA
National Provider Identifier
1215326202
Registry record updated Jan 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DE60232632 Issued in WA
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

Updated by the provider on Jan 14, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2038359MedicaidWA

Other names 1

  • Southridge Dental Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.