NPIMap

Organization Active NPI

Winsted Dental PLLC

  • Dentist
  • Winsted, MN
National Provider Identifier
1265853139
Registry record updated Dec 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D9676 Issued in MN
Legal business name
WINSTED DENTAL PLLC
Practice address
123 Fairlawn Ave W
Winsted, MN 55395-7837
Phone
(320) 485-3881
NPI assigned
Dec 19, 2013
Last updated
Dec 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2013

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

Authorized official

Name
Kennth Duane Ness, DDS
Title
President
Phone
(320) 275-2520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D9676 MN Primary

Addresses

Primary practice location

123 Fairlawn Ave W
Winsted, MN 55395-7837

Mailing address

27392 734TH Ave
Dassel, MN 55325-3258

National Provider Directory

National Provider Directory
Tax ID family
Litchfield Dental3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1387411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387411200000",
    "number": "1265853139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27392 734TH AVE",
            "city": "DASSEL",
            "state": "MN",
            "postal_code": "553253258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 FAIRLAWN AVE W",
            "city": "WINSTED",
            "state": "MN",
            "postal_code": "553957837",
            "telephone_number": "320-485-3881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINSTED DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-19",
        "last_updated": "2013-12-19",
        "status": "A",
        "authorized_official_last_name": "NESS",
        "authorized_official_first_name": "KENNTH",
        "authorized_official_middle_name": "DUANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "320-275-2520",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D9676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winsted, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; 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.