Jelani E. Winslow DMD Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JELANI E. WINSLOW DMD INC

Practice address

1900 W Whittier Blvd
Montebello, CA 90640-4009

Phone

(323) 721-7153

NPI assigned

Aug 19, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Jelani E Winslow, DMDNPI 1407015076

Title

Tin Owner

Phone

(310) 491-8877

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Jelani Edward Winslow, D.M.D.

  • Dentist
  • Lakewood, CA
  • NPI 1407015076
  NPD (past) Authorized official
• Ralph Edward Hansen, D.M.D.

  • General Practice Dentistry
  • Montebello, CA
  • NPI 1609995737
  NPD (past)

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566172800000",
    "number": "1265089940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 W WHITTIER BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404009",
            "telephone_number": "323-721-7153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 W WHITTIER BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404009",
            "telephone_number": "323-721-7153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JELANI E. WINSLOW DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-19",
        "last_updated": "2019-08-19",
        "status": "A",
        "authorized_official_last_name": "WINSLOW",
        "authorized_official_first_name": "JELANI",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "TIN OWNER",
        "authorized_official_telephone_number": "310-491-8877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "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 LICENSE",
            "identifier": "56557",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Montebello, CA
• Providers in Montebello, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; 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.