Individual provider Active NPI

David Everett Winslow, D.O.

  • General Practice Physician
  • Coppell, TX
National Provider Identifier
1366524266
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
H4804 Issued in TX
Practice address
651 N Denton Tap Rd
#190
Coppell, TX 75019-2007
Phone
(972) 393-4686
Fax
(972) 745-1464
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X H4804 TX Primary

Addresses

Primary practice location

651 N Denton Tap Rd
#190
Coppell, TX 75019-2007

Mailing address

651 N Denton Tap Rd
#190
Coppell, TX 75019-2007
Phone (972) 393-4686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Previously, effective Aug 11, 2010 through Aug 11, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
H4804TXMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366524266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 N DENTON TAP RD",
            "address_2": "#190",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192007",
            "telephone_number": "972-393-4686",
            "fax_number": "972-745-1464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 N DENTON TAP RD",
            "address_2": "#190",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192007",
            "telephone_number": "972-393-4686",
            "fax_number": "972-745-1464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINSLOW",
        "first_name": "DAVID",
        "middle_name": "EVERETT",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "H4804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coppell, TX

Sources for this page

Verify at the official NPI Registry.