Adam R Winckler, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

019027008 Issued in IL

Practice address

2631 Williamsburg Ave
Suite 201
Geneva, IL 60134

Phone

(630) 262-1055

Fax

(630) 262-1033

NPI assigned

May 21, 2007

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

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227139200000",
    "number": "1659580447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2631 WILLIAMSBURG AVE",
            "address_2": "SUITE 201",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "60134",
            "telephone_number": "630-262-1055",
            "fax_number": "630-262-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2631 WILLIAMSBURG AVE",
            "address_2": "SUITE 201",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "60134",
            "telephone_number": "630-262-1055",
            "fax_number": "630-262-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINCKLER",
        "first_name": "ADAM",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2008-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019027008",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019027008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hovey Ellis Williams III, M.S.
• Kurt J Williams, M.D.
• Susan Williams, LCPC
• Audra Wilson, MS, RDN
• Kathryn Winans, MS, RD, LDN
• Windmill Counseling, LLC
• Lora D Windsor, LCSW, CADC
• Courtney Winkle, DC
• Timothy Craig Wirt, DPM
• Meredith Wolff, MOTR

• Dentist in Geneva, IL
• Providers in Geneva, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; 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.