Timothy Van Winegarden, DDS, MSD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

5806 Issued in IA

Practice address

222 Edgewood Rd NW
Cedar Rapids, IA 52405-4472

Phone

(319) 396-8364

Fax

(319) 396-5800

NPI assigned

Feb 1, 2011

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Timothy V Winegarden DDS MSD PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Cedar Rapids, IA
  • NPI 1871626838
  NPD (past) Authorized official
• Elite Orthodontics LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Cedar Rapids, IA
  • NPI 1508482852
  NPD (past)

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

{
    "created_epoch": "1296518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296518400000",
    "number": "1669778148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 EDGEWOOD RD NW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524054472",
            "telephone_number": "319-396-8364",
            "fax_number": "319-396-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 EDGEWOOD RD NW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524054472",
            "telephone_number": "319-396-8364",
            "fax_number": "319-396-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINEGARDEN",
        "first_name": "TIMOTHY",
        "middle_name": "VAN",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-01",
        "last_updated": "2011-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IA",
            "license": "5806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0142687",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Marie Wilson, MOTR/L
• Jordan Wilson
• Karen Camille Wilson, DDS
• Shannon Marie Wilson, LMHC, CRC, CADC
• Stephanie Wilson, DNP
• Jamie Wingert, MA, LMHCT
• Winslow Clinic PLLC
• Christine M Winter-Rundell, O.D., FCOVD
• Kenneth Winter
• Ashton Wisneski

• Orthodontics and Dentofacial Orthopedics Dentistry in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; 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.