Individual provider Active NPI

Tiffany Winburn, D.M.D.

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1669670162
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5542 Issued in NV
Practice address
1621 E Flamingo Rd
Suite 17-a
Las Vegas, NV 89119-5276
Phone
(702) 892-0910
NPI assigned
Jul 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5542 NV Primary

Addresses

Primary practice location

1621 E Flamingo Rd
Suite 17-a
Las Vegas, NV 89119-5276

Mailing address

2268 Lyrical Rd
Henderson, NV 89052-6529
Phone (702) 492-1615

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5542NVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Braun 7To7 PLLC CurrentSince Aug 15, 2021 Accepting new patients
Mission Oaks 7To7 PLLC PastSince Nov 18, 2025 Accepting new patients
Cibolo 7To7 PLLC PastSince Aug 15, 2021 Accepting new patients
Ortho 7To7 PLLC Past Accepting new patients

Locations

10103 W Loop 1604 N
Ste 104
San Antonio, TX 78254
Phone (210) 493-4444

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196035200000",
    "number": "1669670162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2268 LYRICAL RD",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890526529",
            "telephone_number": "702-492-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 E FLAMINGO RD",
            "address_2": "SUITE 17-A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195276",
            "telephone_number": "702-892-0910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINBURN",
        "first_name": "TIFFANY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-05",
        "last_updated": "2007-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "5542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; 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.