Active NPI
Kevin L Winters, D.D.S.
- General Practice Dentistry
- Austin, TX
National Provider Identifier
1689790974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 32813
- Practice address
- 6836 Bee Caves Rd
Building One, Ste 300
Austin, TX 78746 - Phone
- (512) 347-0044
- NPI assigned
- Mar 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 32813 | TX | Primary |
Addresses
Primary practice location
6836 Bee Caves Rd
Building One, Ste 300
Austin, TX 78746
Mailing address
6836 Bee Caves Rd
Building One, Ste 300
Austin, TX 78746
Phone (512) 347-0044
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32813 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517443200000",
"number": "1689790974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6836 BEE CAVES RD",
"address_2": "BUILDING ONE, STE 300",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78746",
"telephone_number": "512-347-0044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6836 BEE CAVES RD",
"address_2": "BUILDING ONE, STE 300",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78746",
"telephone_number": "512-347-0044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINTERS",
"first_name": "KEVIN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2018-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "32813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.