Windham Family Dental of Shelby County, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

28157 Issued in TX

Legal business name

WINDHAM FAMILY DENTAL OF SHELBY COUNTY, PLLC

Practice address

406 Cora St
Center, TX 75935-3610

Phone

(936) 598-2923

NPI assigned

Apr 4, 2016

Last updated

Apr 4, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Clayton Paul Windham, D.D.S.NPI 1164787917

Title

Dentist

Phone

(936) 598-2923

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Clayton Paul Windham, D.D.S.

  • Dentist
  • Center, TX
  • NPI 1164787917
  NPD (past) Authorized official
• Danny Paul Windham, D.D.S.

  • Dentist
  • Center, TX
  • NPI 1164424149
  NPD (past)

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459728000000",
    "number": "1700249091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 CORA ST",
            "city": "CENTER",
            "state": "TX",
            "postal_code": "759353610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 CORA ST",
            "city": "CENTER",
            "state": "TX",
            "postal_code": "759353610",
            "telephone_number": "936-598-2923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDHAM FAMILY DENTAL OF SHELBY COUNTY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-04",
        "last_updated": "2016-04-04",
        "status": "A",
        "authorized_official_last_name": "WINDHAM",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "936-598-2923",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "28157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wilkins Counseling Center, Inc
• Wilkins Counseling Center, Inc.
• Dan F Wilkins, PHD LPC LMFT
• Darrell Williams
• Miranda Shea Williams, DPT
• Clayton Paul Windham, D.D.S.
• Danny Paul Windham, D.D.S.
• Debrah J Worsham, D.D.S.
• Thomas A. Youngblood, D.D.S.
• Crystal Liliana Zuniga, FNP

• General Practice Dentistry in Center, TX
• Providers in Center, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; 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.