Individual provider Active NPI

Elizabeth Marie Winegar, D.D.S

  • General Practice Dentistry
  • Farwell, MI
National Provider Identifier
1760788806
Registry record updated Feb 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901020332 Issued in MI
Practice address
301 W Main St
Farwell, MI 48622-8753
Phone
(989) 588-4121
NPI assigned
Feb 8, 2011
Last updated
Feb 8, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2011

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 2901020332 MI Primary

Addresses

Primary practice location

301 W Main St
Farwell, MI 48622-8753

Mailing address

2525 E Whippoorwill Holw
Midland, MI 48642-7876

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150619001230 MI Order and Referring Only - DentistPractitioner - Dentist 8820309693

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901020332MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Farwell Dental, PLLC General Practice CurrentSince Dec 10, 2023 Accepting new patients
Colleen Quesada DMD PLLC Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1297123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297123200000",
    "number": "1760788806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 E WHIPPOORWILL HOLW",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486427876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W MAIN ST",
            "city": "FARWELL",
            "state": "MI",
            "postal_code": "486228753",
            "telephone_number": "989-588-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINEGAR",
        "first_name": "ELIZABETH",
        "middle_name": "MARIE",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-08",
        "last_updated": "2011-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901020332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farwell, MI

Sources for this page

Verify at the official NPI Registry.