Kyle Patrick Winter, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

08744 Issued in IA

Practice address

101 4TH St NW
Buffalo Center, IA 50424-1055

Phone

(641) 562-2297

Fax

(641) 562-2267

NPI assigned

Jul 7, 2010

Last updated

Jul 7, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Randall L. Winter,D.D.S.,P.C.

  • Dentist
  • Buffalo Center, IA
  • NPI 1730480112
  NPD (past)

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

{
    "created_epoch": "1278460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278460800000",
    "number": "1568774586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 4TH ST NW",
            "city": "BUFFALO CENTER",
            "state": "IA",
            "postal_code": "504241055",
            "telephone_number": "641-562-2297",
            "fax_number": "641-562-2267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 4TH ST NW",
            "city": "BUFFALO CENTER",
            "state": "IA",
            "postal_code": "504241055",
            "telephone_number": "641-562-2297",
            "fax_number": "641-562-2267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTER",
        "first_name": "KYLE",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-07",
        "last_updated": "2010-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "08744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Iowa Community School District
• North Iowa Physical Therapy LLC
• Randall L. Winter,D.D.S.,P.C.
• Timely Mission Nursing Home
• Jerome J Wiedemeier, D.C.

• General Practice Dentistry in Buffalo Center, IA
• Providers in Buffalo Center, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.