NPIMap

Organization Active NPI

Winslow Indian Health Care Center, Inc

Doing business as Leupp Dental

  • Clinic/Center
  • Leupp, AZ
National Provider Identifier
1497925218
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
WINSLOW INDIAN HEALTH CARE CENTER, INC
Doing business as
Leupp Dental
Leupp Health Station Dental
Practice address
1.5 Mile N of Leupp Chapter House
Leupp, AZ 86032
Phone
(928) 686-6554
Fax
(928) 686-6566
NPI assigned
Mar 7, 2008
Last updated
Feb 4, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
WINSLOW INDIAN HEALTH CARE CENTER, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Authorized official

Name
Mr. Virgil Davis, CEO
Title
Chief Executive Officer
Phone
(928) 289-4646

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X AZ Primary
Federal Public Health Clinic/Center 261QP0904X

Addresses

Primary practice location

1.5 Mile N of Leupp Chapter House
Leupp, AZ 86032

Mailing address

500 Indiana Ave
Winslow, AZ 86047-2169
Phone (928) 289-4646

Other identifiers 1

IdentifierTypeStateIssuer
758526MedicaidAZ

Other names 2

  • Leupp Dental Doing business as
  • Leupp Health Station Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Winslow Indian Health Care Center Inc12 organizations share this tax ID, including this one
Part of
Winslow Indian Health Care Center Inc

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770163200000",
    "number": "1497925218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 INDIANA AVE",
            "city": "WINSLOW",
            "state": "AZ",
            "postal_code": "860472169",
            "telephone_number": "928-289-4646",
            "fax_number": "928-289-6290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1.5 MILE N OF LEUPP CHAPTER HOUSE",
            "city": "LEUPP",
            "state": "AZ",
            "postal_code": "86032",
            "telephone_number": "928-686-6554",
            "fax_number": "928-686-6566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINSLOW INDIAN HEALTH CARE CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WINSLOW INDIAN HEALTH CARE CENTER, INC",
        "enumeration_date": "2008-03-07",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "VIRGIL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "928-289-4646",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AZ",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP0904X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, Federal",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "758526",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leupp Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Leupp Health Station Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leupp, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; 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.