Organization Active NPI

Winslow Dental Corporation

  • General Practice Dentistry
  • Sacramento, CA
National Provider Identifier
1578850350
Registry record updated Jun 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
57368 Issued in CA
Legal business name
WINSLOW DENTAL CORPORATION
Doing business as
New Essence Dentistry
Practice address
4000 Truxel Rd Ste 2
Sacramento, CA 95834-3726
Phone
(916) 515-1000
Fax
(916) 515-1110
NPI assigned
Jun 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2011

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

Authorized official

Name
Dr. Jeron Phillip Winslow, D.D.S.
Title
President
Phone
(916) 515-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 57368 CA Primary

Addresses

Primary practice location

4000 Truxel Rd Ste 2
Sacramento, CA 95834-3726

Mailing address

4000 Truxel Rd Ste 2
Sacramento, CA 95834-3726
Phone (916) 515-1000

Other names 1

  • New Essence Dentistry Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309392000000",
    "number": "1578850350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 TRUXEL RD STE 2",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958343726",
            "telephone_number": "916-515-1000",
            "fax_number": "916-515-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 TRUXEL RD STE 2",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958343726",
            "telephone_number": "916-515-1000",
            "fax_number": "916-515-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINSLOW DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-30",
        "last_updated": "2011-06-30",
        "status": "A",
        "authorized_official_last_name": "WINSLOW",
        "authorized_official_first_name": "JERON",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-515-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "57368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Essence Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; 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.