NPIMap

Organization Active NPI

Winans PLLC

Doing business as Tenino Family Dental Center

  • Dentist
  • Tenino, WA
National Provider Identifier
1558587170
Registry record updated May 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9980 Issued in WA
Legal business name
WINANS PLLC
Doing business as
Tenino Family Dental Center
Practice address
872 Sussex Ave E
Tenino, WA 98589-9287
Phone
(360) 264-2353
NPI assigned
Apr 18, 2007
Last updated
May 10, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2016

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

Authorized official

Name
Suzanne Kluh Winans, DDSNPI 1881811164
Title
Owner Partner
Phone
(360) 264-2353

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9980 WA Primary

Addresses

Primary practice location

872 Sussex Ave E
Tenino, WA 98589-9287

Mailing address

PO Box 734
Tenino, WA 98589-0734
Phone (360) 264-2353

Other identifiers 1

IdentifierTypeStateIssuer
5024740MedicaidWA

Other names 1

  • Tenino Family Dental Center Doing business as

National Provider Directory

National Provider Directory

Locations

872 Sussex Ave E
Tenino, WA 98589
Phone (360) 264-2353

Practitioners & affiliated clinicians

Practitioners 2

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": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462838400000",
    "number": "1558587170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 734",
            "city": "TENINO",
            "state": "WA",
            "postal_code": "985890734",
            "telephone_number": "360-264-2353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "872 SUSSEX AVE E",
            "city": "TENINO",
            "state": "WA",
            "postal_code": "985899287",
            "telephone_number": "360-264-2353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINANS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2016-05-10",
        "status": "A",
        "authorized_official_last_name": "WINANS",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "KLUH",
        "authorized_official_title_or_position": "OWNER PARTNER",
        "authorized_official_telephone_number": "360-264-2353",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "9980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5024740",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tenino Family Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tenino, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; 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.