Individual provider Active NPI

Herbert Karl Winter, DDS

  • General Practice Dentistry
  • Huntington Woods, MI
National Provider Identifier
1568403392
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901013214 Issued in MI
Practice address
26657 Woodward Ave
Ste 102
Huntington Woods, MI 48070
Phone
(248) 336-3600
Fax
(248) 398-6773
NPI assigned
Jun 10, 2006
Last updated
Jun 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901013214 MI Primary

Addresses

Primary practice location

26657 Woodward Ave
Ste 102
Huntington Woods, MI 48070

Mailing address

27300 Lane St Ste 102
Saint Clair Shores, MI 48081-2010
Phone (248) 854-5572

Other practice location 1

4139 Baldwin Rd
Auburn Hills, MI 48326
Phone (248) 854-5572

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160902000165 MI Order and Referring Only - DentistPractitioner - Dentist 2769778539

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1568403392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27300 LANE ST STE 102",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480812010",
            "telephone_number": "248-854-5572",
            "fax_number": "248-398-6773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26657 WOODWARD AVE",
            "address_2": "STE 102",
            "city": "HUNTINGTON WOODS",
            "state": "MI",
            "postal_code": "48070",
            "telephone_number": "248-336-3600",
            "fax_number": "248-398-6773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4139 Baldwin Rd",
            "address_purpose": "LOCATION",
            "city": "Auburn Hills",
            "state": "MI",
            "postal_code": "48326",
            "country_code": "US",
            "telephone_number": "248-854-5572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINTER",
        "first_name": "HERBERT",
        "middle_name": "KARL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901013214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Woods, MI

Sources for this page

Verify at the official NPI Registry.