Active NPI
Jenna M Windell, DMD
- Dentist
- Corydon, IN
National Provider Identifier
1518526110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12013159A
- Practice address
- 1300 Old Highway 135 NE
Corydon, IN 47112 - Phone
- (812) 738-8081
- Fax
- (812) 739-3213
- NPI assigned
- Jun 7, 2019
- Last updated
- Jun 7, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12013159A | IN | Primary |
Addresses
Primary practice location
1300 Old Highway 135 NE
Corydon, IN 47112
Mailing address
1548 Hardin Ridge Rd SE
Corydon, IN 47112-5374
Phone (812) 267-6140
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12013159A | IN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crosscreek Dental, LLC | Current | Accepting new patients | |
| JLD Dental | Past | Accepting new patients |
Locations
1300 Old Highway 135 NE
Corydon, IN 47112
Phone (812) 734-1330
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.
-
dba North Bridge Dental
- General Practice Dentistry
- Corydon, IN
- NPI 1457022428
-
- General Practice Dentistry
- Corydon, IN
- NPI 1689736217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559865600000",
"number": "1518526110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1548 HARDIN RIDGE RD SE",
"city": "CORYDON",
"state": "IN",
"postal_code": "471125374",
"telephone_number": "812-267-6140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 OLD HIGHWAY 135 NE",
"city": "CORYDON",
"state": "IN",
"postal_code": "47112",
"telephone_number": "812-738-8081",
"fax_number": "812-739-3213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINDELL",
"first_name": "JENNA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-07",
"last_updated": "2019-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "12013159A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corydon, IN
- Keith Lloyd Wein, D.C.
- Michelle A Wheatley, A.R.N.P.
- Where We Began LLC (Corydon IOP & Counseling Services)
- Angela White
- Robert Scott Wiltrout, CRNA
- Nicole Rae Windell, APRN
- Lee Wong
- Keith Wright, FNP
- Young Mens Christian Association of Harrison County Inc (YMCA of Harrison County)
- Ashley Yaeger Zehnder, D.M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.