Active NPI
Winston Feng
- Dentist
- Chicago, IL
National Provider Identifier
1396232138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 19031747
- Practice address
- 4108 N Sheridan Rd
Chicago, IL 60613-2007 - Phone
- (773) 549-6116
- NPI assigned
- Apr 17, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | 19031747 | IL | Primary |
Addresses
Primary practice location
4108 N Sheridan Rd
Chicago, IL 60613-2007
Mailing address
515 Illinois Rd
Wilmette, IL 60091-2340
Phone (847) 529-4257
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19031747 | IL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590710400000",
"number": "1396232138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 ILLINOIS RD",
"city": "WILMETTE",
"state": "IL",
"postal_code": "600912340",
"telephone_number": "847-529-4257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4108 N SHERIDAN RD",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606132007",
"telephone_number": "773-549-6116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENG",
"first_name": "WINSTON",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-17",
"last_updated": "2020-05-29",
"certification_date": "2020-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "19031747",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.