Organization Active NPI

Winsted Gentle Dental Care

  • Dentist
  • Winsted, MN
National Provider Identifier
1275501249
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7778MN Issued in MN
Legal business name
WINSTED GENTLE DENTAL CARE
Practice address
123 Fairlawn Ave West
Winsted, MN 55395-0728
Phone
(320) 485-3881
Fax
(320) 485-4322
NPI assigned
Mar 8, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. James J Neff, DDS
Title
Sole Partner
Phone
(320) 485-3881

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 7778MN MN Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X D11591 MN
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X D11889 MN

Addresses

Primary practice location

123 Fairlawn Ave West
Winsted, MN 55395-0728

Mailing address

123 Fairlawn Ave West
PO Box 728
Winsted, MN 55395-0728
Phone (320) 485-3881

National Provider Directory

National Provider Directory

Locations

123 Fairlawn Ave W
Winsted, MN 55395
Phone (320) 485-3881

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": "1141776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275501249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 FAIRLAWN AVE WEST",
            "address_2": "PO BOX 728",
            "city": "WINSTED",
            "state": "MN",
            "postal_code": "553950728",
            "telephone_number": "320-485-3881",
            "fax_number": "320-485-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 FAIRLAWN AVE WEST",
            "city": "WINSTED",
            "state": "MN",
            "postal_code": "553950728",
            "telephone_number": "320-485-3881",
            "fax_number": "320-485-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINSTED GENTLE DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEFF",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SOLE PARTNER",
        "authorized_official_telephone_number": "320-485-3881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "7778MN",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "D11591",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "D11889",
            "primary": false
        }
    ],
    "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 Aug 22, 2020; 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.