NPIMap

Organization Active NPI

Waynewood & Associates, P.a.

  • General Practice Dentistry
  • Saint Paul, MN
National Provider Identifier
1689748295
Registry record updated Feb 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8084 Issued in MN
Legal business name
WAYNEWOOD & ASSOCIATES, P.A.
Practice address
393 Dunlap St N Ste 650
Saint Paul, MN 55104-4216
Phone
(651) 647-9697
Fax
(651) 646-2771
NPI assigned
Nov 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2008

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

Authorized official

Name
Dr. Freeman Waynewood, D.D.S.NPI 1063586659
Title
Owner
Phone
(651) 647-9697

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 8084 MN Primary

Addresses

Primary practice location

393 Dunlap St N Ste 650
Saint Paul, MN 55104-4216

Mailing address

393 Dunlap St N Ste 650
Saint Paul, MN 55104-4216
Phone (651) 647-9697

National Provider Directory

National Provider Directory
Tax ID family
Waynewood Associates PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1689748295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 DUNLAP ST N STE 650",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551044216",
            "telephone_number": "651-647-9697",
            "fax_number": "651-646-2771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 DUNLAP ST N STE 650",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551044216",
            "telephone_number": "651-647-9697",
            "fax_number": "651-646-2771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNEWOOD & ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "WAYNEWOOD",
        "authorized_official_first_name": "FREEMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-647-9697",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "8084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

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