Windstone Dental LLC

Primary specialty

DentistTaxonomy code 122300000X

License

3341-05 Issued in MS

Legal business name

WINDSTONE DENTAL LLC

Practice address

4824 Goodman Rd
Olive Branch, MS 38654-7950

Phone

(662) 874-5917

Fax

(662) 874-5998

NPI assigned

Feb 15, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Jarad Braddy, D.D.S.

Title

Member

Phone

(662) 874-5917

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kamren Alese Joe, DDS

  • General Practice Dentistry
  • Olive Branch, MS
  • NPI 1598374191
  NPD (past)
• Stephen W. Joe, D.M.D.

  • General Practice Dentistry
  • Olive Branch, MS
  • NPI 1609896729
  NPD (past)

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

{
    "created_epoch": "1360886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360886400000",
    "number": "1376883199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4824 GOODMAN RD",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386547950",
            "telephone_number": "662-874-5917",
            "fax_number": "662-874-5998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4824 GOODMAN RD",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386547950",
            "telephone_number": "662-874-5917",
            "fax_number": "662-874-5998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDSTONE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-15",
        "last_updated": "2013-02-15",
        "status": "A",
        "authorized_official_last_name": "BRADDY",
        "authorized_official_first_name": "JARAD",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "662-874-5917",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MS",
            "license": "3341-05",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gheri Williams, RN
• Latonia Williams, NURSE PRACTITIONER
• Mallory Williams, LMSW LSSW
• Serenity Williams, P-LPC
• Charla F Wilson, FNP
• Kevin Scott Winter, PHARMD
• Carolyn Wong
• Fred Gaddis Woods, D.C.
• Marshun Wright
• You Matter Counseling and Wellness

• Dentist in Olive Branch, MS
• Providers in Olive Branch, MS by specialty
• Dentist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.