Active NPI
Jennifer Winslow, DMD
- Pediatric Dentistry
- Silverton, OR
National Provider Identifier
1528426558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- D10808
- Practice address
- 411 N Water St
Silverton, OR 97381 - Phone
- (503) 874-4560
- NPI assigned
- Feb 4, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30025075 | OH | |
| Pediatric Dentistry | 1223P0221X | D10808 | OR | Primary |
Addresses
Primary practice location
411 N Water St
Silverton, OR 97381
Mailing address
411 N Water St
Silverton, OR 97381-1625
Phone (503) 874-4560
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 |
|---|---|---|---|
| 30025075 | OH | MD | Dentist |
| D10808 | OR | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acorn Dentistry for Kids - West Salem, LLC | Pediatric Dentistry | Past | Accepting new patients |
| Acorn Dentistry for Kids - Hillsboro, LLC | Past | Accepting new patients | |
| Acorn Dentistry for Kids - Corvallis, LLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Corvallis, OR
- NPI 1669960019
-
- Dental Clinic/Center
- Hillsboro, OR
- NPI 1104314558
-
- Pediatric Dentistry
- Salem, OR
- NPI 1043869191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531094400000",
"number": "1528426558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 N WATER ST",
"city": "SILVERTON",
"state": "OR",
"postal_code": "973811625",
"telephone_number": "503-874-4560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 N WATER ST",
"city": "SILVERTON",
"state": "OR",
"postal_code": "97381",
"telephone_number": "503-874-4560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINSLOW",
"first_name": "JENNIFER",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-04",
"last_updated": "2018-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30025075",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "OR",
"license": "D10808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Silverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.