Windsor Family Dentistry Practice, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10115 Issued in CO

Legal business name

WINDSOR FAMILY DENTISTRY PRACTICE, LLC

Practice address

1160 W Ash St
Windsor, CO 80550-4666

Phone

(970) 686-1186

Fax

(888) 790-7062

NPI assigned

Aug 29, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Scott N Frederick, DDS

Title

Owner

Phone

(970) 686-1186

Specialties & licenses 1

Addresses

Other names 1

• Windsor Family Dentistry Doing business as

Locations

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503964800000",
    "number": "1306363429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6020 N CAREFREE CIR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809222402",
            "telephone_number": "719-266-2717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 W ASH ST",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805504666",
            "telephone_number": "970-686-1186",
            "fax_number": "888-790-7062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDSOR FAMILY DENTISTRY PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-29",
        "last_updated": "2017-08-29",
        "status": "A",
        "authorized_official_last_name": "FREDERICK",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-686-1186",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "10115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Windsor Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Windsor Audiology LLC
• Windsor Community Pharmacy
• Windsor Dental Partners PLLC
• Windsor Eye Care & Vision Center, P.C.
• Windsor Family Clinic, PC
• Windsor Front Range Dentistry
• Windsor Pediatric Dentistry PLLC
• Alicia Elizabeth Woll, MS, RD
• Emily Grace Wood
• Alexa C Woods, OTR/L

• General Practice Dentistry in Windsor, CO
• Providers in Windsor, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2017; 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.