Organization Active NPI

Red Butte Dental LLC

Doing business as Winegar Dental

  • General Practice Dentistry
  • Harker Heights, TX
National Provider Identifier
1255192902
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RED BUTTE DENTAL LLC
Doing business as
Winegar Dental
Practice address
581 Pan American Dr Ste 6
Harker Heights, TX 76548-1960
Phone
(254) 699-3225
Fax
(254) 699-4647
NPI assigned
Jan 19, 2024
Last updated
Jan 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Authorized official

Name
Lyndsay Smith
Title
Practice Manager
Phone
(254) 699-3225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

581 Pan American Dr Ste 6
Harker Heights, TX 76548-1960

Mailing address

581 Pan American Dr Ste 6
Harker Heights, TX 76548-1960
Phone (254) 699-3225

Other identifiers 1

IdentifierTypeStateIssuer
1619546173OtherTXDENTAL

Other names 1

  • Winegar Dental Doing business as

National Provider Directory

National Provider Directory

Locations

581 Pan American Dr
Ste 6
Harker Heights, TX 76548
Phone (254) 699-3225

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1255192902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "581 PAN AMERICAN DR STE 6",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765481960",
            "telephone_number": "254-699-3225",
            "fax_number": "254-699-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "581 PAN AMERICAN DR STE 6",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765481960",
            "telephone_number": "254-699-3225",
            "fax_number": "254-699-4647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED BUTTE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LYNDSAY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "254-699-3225"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL",
            "identifier": "1619546173",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winegar Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harker Heights, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.