Kimberly Winters, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

31377 Issued in TX

Practice address

11650 US Highway 380 Ste 100
Crossroads, TX 76227-8329

Phone

(940) 205-4293

NPI assigned

Jul 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cross Roads Smiles Dentistry,PC

  dba Cross Roads Smiles Dentistry

  • Dentist
  • Crossroads, TX
  • NPI 1184174039
  NPD (past)

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1346267242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11650 US HIGHWAY 380 STE 100",
            "city": "CROSSROADS",
            "state": "TX",
            "postal_code": "762278329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11650 US HIGHWAY 380 STE 100",
            "city": "CROSSROADS",
            "state": "TX",
            "postal_code": "762278329",
            "telephone_number": "940-205-4293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTERS",
        "first_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "31377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tony Vo
• Kim Anh Thi Vu
• Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-5707)
• Wal-Mart Stores Texas, LLC (Wal-Mart Vision Center 30-5707)
• Sarah F Waqhar, DDS
• Luo Zhang
• Kent Zheng

• General Practice Dentistry in Crossroads, TX
• Providers in Crossroads, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.