Individual provider Active NPI

David Kent Winsemius, M.D., M.P.H.

  • Family Medicine Physician
  • Alameda, CA
National Provider Identifier
1467791681
Registry record updated Feb 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
028365 Issued in CT
Practice address
712 Taylor Ave
Alameda, CA 94501-3821
Phone
(860) 463-9771
NPI assigned
Feb 7, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 028365 CT Primary

Addresses

Primary practice location

712 Taylor Ave
Alameda, CA 94501-3821

Mailing address

712 Taylor Ave
Alameda, CA 94501-3821
Phone (860) 463-9771

Other identifiers 1

IdentifierTypeStateIssuer
028365OtherCTCONNECTICUT MEDICAL LICENSE NUMBER

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
028365CTMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1360195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360195200000",
    "number": "1467791681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 TAYLOR AVE",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945013821",
            "telephone_number": "860-463-9771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 TAYLOR AVE",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945013821",
            "telephone_number": "860-463-9771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINSEMIUS",
        "first_name": "DAVID",
        "middle_name": "KENT",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-07",
        "last_updated": "2013-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "028365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICUT MEDICAL LICENSE NUMBER",
            "identifier": "028365",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alameda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; 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.