Winner Dental Clinic, Prof. LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

WINNER DENTAL CLINIC, PROF. LLC

Doing business as

Winner Dental Clinic

Practice address

911 Golden Prairie Dr
Winner, SD 57580-2176

Phone

(605) 842-1793

NPI assigned

Sep 29, 2020

Last updated

Sep 29, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bradley Farley, DDSNPI 1659783181

Title

Owner Dentist

Phone

(605) 842-1793

Specialties & licenses 1

Addresses

Other names 1

• Winner Dental Clinic Doing business as

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.

• Bradley J Farley, DDS

  • General Practice Dentistry
  • Winner, SD
  • NPI 1659783181
  Authorized official Same address or phone
• Alex Madov, DDS

  • Dentist
  • Fulton, MO
  • NPI 1528637980
  NPD (past)

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601337600000",
    "number": "1609483015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 GOLDEN PRAIRIE DR",
            "city": "WINNER",
            "state": "SD",
            "postal_code": "575802176",
            "telephone_number": "605-842-1793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 GOLDEN PRAIRIE DR",
            "city": "WINNER",
            "state": "SD",
            "postal_code": "575802176",
            "telephone_number": "605-842-1793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINNER DENTAL CLINIC, PROF. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-29",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A",
        "authorized_official_last_name": "FARLEY",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "605-842-1793",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winner Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Walker, RN
• Kay Weller
• Aaron Michael Willbrand, DPT
• Ruth Emma Williams
• Clint Jordan Willuweit, D.C.
• Winner Physical Therapy Inc
• Winner Regional Health Clinic
• Winner Regional Healthcare Center
• Winner Regional Healthcare Center (Winner Family Drug)
• Winner Regional Healthcare Center

• Dental Clinic/Center in Winner, SD
• Providers in Winner, SD by specialty
• Dental Clinic/Center in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; 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.