Individual provider Active NPI

Emily Rae Winker, DDS

  • Dentist
  • Windom, MN
National Provider Identifier
1407413081
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D14210 Issued in MN
Practice address
820 2ND Ave N
Windom, MN 56101-1761
Phone
(507) 831-1370
Fax
(507) 831-5025
NPI assigned
May 20, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D14210 MN Primary

Addresses

Primary practice location

820 2ND Ave N
Windom, MN 56101-1761

Mailing address

820 2ND Ave N
Windom, MN 56101-1761
Phone (507) 822-2539

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address emilydds@windomnet.com Direct

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

LicenseStateTypeSpecialty
D14210MNMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1407413081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 2ND AVE N",
            "city": "WINDOM",
            "state": "MN",
            "postal_code": "561011761",
            "telephone_number": "507-822-2539",
            "fax_number": "507-831-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 2ND AVE N",
            "city": "WINDOM",
            "state": "MN",
            "postal_code": "561011761",
            "telephone_number": "507-831-1370",
            "fax_number": "507-831-5025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINKER",
        "first_name": "EMILY",
        "middle_name": "RAE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-20",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D14210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emilydds@windomnet.com",
            "affiliation": "N",
            "endpointDescription": "Business Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "820 2nd Ave N",
            "city": "Windom",
            "state": "MN",
            "country_code": "US",
            "postal_code": "561011761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Windom, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.