Winfield Scott Shirk, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

0401413995 Issued in VA

Practice address

11060 Smile Way
King George, VA 22485-3470

Phone

(540) 775-7671

NPI assigned

May 27, 2013

Last updated

May 27, 2013By 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 VA

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

Practice roles

Locations

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.

• Bsaa PLLC

  dba Progressive Dental of Fredericksburg

  • Dental Clinic/Center
  • Fredericksburg, VA
  • NPI 1083433890
  NPD Authorized official
• Dental Professionals of Virginia, P.C.

  dba Dental Care on Smile Way

  • General Practice Dentistry
  • King George, VA
  • NPI 1902794621
  NPD (past)
• Richard Cottrell DDS PC

  • General Practice Dentistry
  • King George, VA
  • NPI 1538242151
  NPD (past)

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

{
    "created_epoch": "1369612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369612800000",
    "number": "1629415021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7931 LAKE ANNA PKWY",
            "city": "SPOTSYLVANIA",
            "state": "VA",
            "postal_code": "225513391",
            "telephone_number": "540-840-5940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11060 SMILE WAY",
            "city": "KING GEORGE",
            "state": "VA",
            "postal_code": "224853470",
            "telephone_number": "540-775-7671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRK",
        "first_name": "WINFIELD",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-27",
        "last_updated": "2013-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401413995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Gabrielle Sellors
• Sentara Medical Group (Sentara Pratt Medical Group)
• Sentara Medical Group (Sentara Pratt Medical Group)
• Shady Grove Pediatrics, PC (King George Pediatrics)
• Logan Anne Shearon, PA-C
• Lillian Jade Simon
• Jennifer Gail Sindelar
• Hollie Elizabeth Sisemore
• Amber Michelle Smith, RT(R)(MR)
• Daysiemae Smith

• Dentist in King George, VA
• Providers in King George, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2013; 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.