Active NPI
Amy M Winston, DDS
- General Practice Dentistry
- Seattle, WA
National Provider Identifier
1407982473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DE00009722
- Practice address
- 4915 25TH Ave NE
Suite 205
Seattle, WA 98105-5667 - Phone
- (206) 524-1600
- NPI assigned
- Feb 26, 2007
- Last updated
- Oct 4, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 9722 | WA | |
| General Practice Dentistry | 1223G0001X | DE00009722 | WA | Primary |
Addresses
Primary practice location
4915 25TH Ave NE
Suite 205
Seattle, WA 98105-5667
Mailing address
4915 25TH Ave NE
Suite 205
Seattle, WA 98105-5667
Phone (206) 524-1600
Other practice location 1
525 Lilly Rd NE Ste 110
Olympia, WA 98506-5101
Phone (206) 548-5850
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G8872830 | Other | WA | MEDICARE |
| 5047568 | Medicaid | WA |
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: No
- Hospice: Yes
- Opted out of Medicare
- Previously, effective Oct 1, 2014 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9722 | WA | MD | General Practice Dentistry |
| DE00009722 | WA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winston & Letwin DDS, PLLC | General Practice | Past | Accepting new patients |
| Peregrine Pacific Anesthesia PLLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Seattle, WA
- NPI 1891065595
-
dba Seattle Special Care Dentistry
- General Practice Dentistry
- Seattle, WA
- NPI 1669655767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696377600000",
"number": "1407982473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4915 25TH AVE NE",
"address_2": "SUITE 205",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981055667",
"telephone_number": "206-524-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4915 25TH AVE NE",
"address_2": "SUITE 205",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981055667",
"telephone_number": "206-524-1600"
}
],
"practiceLocations": [
{
"address_1": "525 Lilly Rd NE Ste 110",
"address_purpose": "LOCATION",
"city": "Olympia",
"state": "WA",
"postal_code": "985065101",
"country_code": "US",
"telephone_number": "206-548-5850",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WINSTON",
"first_name": "AMY",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-26",
"last_updated": "2023-10-04",
"certification_date": "2023-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "9722",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DE00009722",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "G8872830",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5047568",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
- Elizabeth Marie Winstanley, LICSW
- Constance Maria Winstead
- Ricord Burton Winstead, M.D.
- Winston & Letwin DDS, PLLC (Seattle Special Care Dentistry)
- Gabrielle Noel Winston-McPherson, PH.D
- Brittany Winston
- Terra Rachelle Winston, N.D.
- Josh Michael Wintczak, CRNA
- Abigail Mary Winter, PHARMD
- Cameron Clark Winter, PHYSICIAN ASSISTANT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.