Individual provider Active NPI

Henry John Windle, D.M.D.

  • General Practice Dentistry
  • Beaver, PA
National Provider Identifier
1407983224
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS021853 Issued in PA
Practice address
5060 Tuscarawas Rd
Beaver, PA 15009-1006
Phone
(724) 495-3350
Fax
(724) 495-6626
NPI assigned
Feb 28, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS021853 PA Primary

Addresses

Primary practice location

5060 Tuscarawas Rd
Beaver, PA 15009-1006

Mailing address

5060 Tuscarawas Rd
Beaver, PA 15009-1006
Phone (724) 495-3350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150615002063 PA Order and Referring Only - DentistPractitioner - Dentist 7214115914

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS021853PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
St. Barnabas Medical Center, Inc PastSince Apr 1, 2011 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.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407983224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5060 TUSCARAWAS RD",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150091006",
            "telephone_number": "724-495-3350",
            "fax_number": "724-495-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5060 TUSCARAWAS RD",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150091006",
            "telephone_number": "724-495-3350",
            "fax_number": "724-495-6626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINDLE",
        "first_name": "HENRY",
        "middle_name": "JOHN",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS021853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver, PA

Sources for this page

Verify at the official NPI Registry.