Windermere Dental Group,PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

WINDERMERE DENTAL GROUP,PC

Doing business as

Windermere Dental Group

Practice address

17000 Red Hill Ave
Irvine, CA 92614-5626

Phone

(714) 845-8890

Fax

(949) 474-1495

NPI assigned

Aug 12, 2015

Last updated

Sep 14, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John S Barnes, DDS

Title

Owner Doctor

Phone

(281) 377-5483

Specialties & licenses 1

Addresses

Other names 1

• Windermere Dental Group Doing business as

Locations

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.

• Jose Milton Hernandez Mercado

  • General Practice Dentistry
  • Horizon City, TX
  • NPI 1437632460
  NPD (past)

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442188800000",
    "number": "1396111514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12341 FM 1960 RD W SUITE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77065",
            "telephone_number": "281-377-5483",
            "fax_number": "281-914-4365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145626",
            "telephone_number": "714-845-8890",
            "fax_number": "949-474-1495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDERMERE DENTAL GROUP,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-12",
        "last_updated": "2015-09-14",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "281-377-5483",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Windermere Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Whitney Wilson
• Zachary Clinton Wilson
• Thomas Wimer
• Ruth Hannah Wimsatt, PHD
• Jonathan Winarko, MD
• Kathleen Rose Wingert, BCN
• Irina Winquist, DPT
• Kristin M Winslow, OT
• Molly Regine Winterbottom / Stanaland
• Aubrey Wintermute-Anzis

• Dentist in Irvine, CA
• Providers in Irvine, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2015; 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.