Winchester Stuart

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

059081 Issued in NY

Practice address

230 East Main St.
Falconer, NY 14733

Phone

(716) 665-9484

Fax

(716) 665-9485

NPI assigned

Apr 19, 2016

Last updated

Aug 22, 2018By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Southern Tier Family Dentistry, PC

  • Dental Clinic/Center
  • Falconer, NY
  • NPI 1154712677
  NPD (past)

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534896000000",
    "number": "1649624313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 EAST MAIN ST.",
            "city": "FALCONER",
            "state": "NY",
            "postal_code": "14733",
            "telephone_number": "716-665-9484",
            "fax_number": "716-665-9485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 EAST MAIN ST.",
            "city": "FALCONER",
            "state": "NY",
            "postal_code": "14733",
            "telephone_number": "716-665-9484",
            "fax_number": "716-665-9485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUART",
        "first_name": "WINCHESTER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-19",
        "last_updated": "2018-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "059081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Rauh
• Scott Richard San Angelo, D.C.
• Stacy J Seager, LPN
• Carrie Shuler, C.O.T.A.
• Southern Tier Family Dentistry, PC
• Matthew Titus, PHARMD
• Village of Falconer Clerk
• Julie C Wentzell, LPN
• Holly Ann Yagger, OTR/L

• General Practice Dentistry in Falconer, NY
• Providers in Falconer, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; 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.