Children'S Dental of Winona, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

CHILDREN'S DENTAL OF WINONA, LLC

Practice address

150 East Fourth Street
Winona, MN 55987-3512

Phone

(507) 452-1543

NPI assigned

Sep 27, 2022

Organization subpart

No

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

Authorized official

Name

Patti Waters

Title

Office Manager

Phone

(507) 452-1543

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yasemin Yesil, B.D.S.

  • Pediatric Dentistry
  • Winona, MN
  • NPI 1215074646
  NPD

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664236800000",
    "number": "1487378261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 EAST FOURTH STREET",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559873512",
            "telephone_number": "507-452-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 EAST FOURTH STREET",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559873512",
            "telephone_number": "507-452-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S DENTAL OF WINONA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "PATTI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "507-452-1543"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Ceballos Reyes
• Center for Family Chiropractic
• Center for Natural Medicine PA
• Champion Family Chiropractic PSC
• Mary Catherine Chase Borgen, LICSW
• Eric R Christensen, PT
• Juliet Esther Christensen
• David A Christenson, MD
• Christopher E Carroll
• Charlotte Ann Clark, M.D.

• Pediatric Dentistry in Winona, MN
• Providers in Winona, MN by specialty
• Pediatric Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.