Individual provider Active NPI

James Ronald Winchester, DDS, PC

  • Dentist
  • Columbus, GA
National Provider Identifier
1578746319
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
GA11352 Issued in GA
Practice address
5815 Moon Rd
Columbus, GA 31909-3836
Phone
(706) 563-6027
NPI assigned
Dec 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X GA11352 GA Primary

Addresses

Primary practice location

5815 Moon Rd
Columbus, GA 31909-3836

Mailing address

5815 Moon Rd
Columbus, GA 31909-3836
Phone (706) 563-6027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20150722006398 GA Order and Referring Only - DentistPractitioner - Dentist 2163735952

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
GA11352GAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197849600000",
    "number": "1578746319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5815 MOON RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319093836",
            "telephone_number": "706-563-6027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5815 MOON RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319093836",
            "telephone_number": "706-563-6027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINCHESTER",
        "first_name": "JAMES",
        "middle_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "DDS, PC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-17",
        "last_updated": "2007-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "GA11352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.