Organization Active NPI

Ronald L.Winn DDS PS

  • Dental Clinic/Center
  • Seattle, WA
National Provider Identifier
1760925580
Registry record updated Nov 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DE00008000 Issued in WA
Legal business name
RONALD L.WINN DDS PS
Practice address
3295 SW Avalon Way
Seattle, WA 98126
Phone
(630) 631-2407
NPI assigned
Nov 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2016

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

Authorized official

Name
Ronald L Winn, DDS
Title
President
Phone
(630) 631-2407

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DE00008000 WA Primary

Addresses

Primary practice location

3295 SW Avalon Way
Seattle, WA 98126

Mailing address

3295 SW Avalon Way
Seattle, WA 98126-2792
Phone (630) 631-2407

Other identifiers 1

IdentifierTypeStateIssuer
DE00008000OtherWADENTIST

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480291200000",
    "number": "1760925580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3295 SW AVALON WAY",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981262792",
            "telephone_number": "630-631-2407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3295 SW AVALON WAY",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98126",
            "telephone_number": "630-631-2407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD L.WINN DDS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-28",
        "last_updated": "2016-11-28",
        "status": "A",
        "authorized_official_last_name": "WINN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-631-2407",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE00008000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "DE00008000",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.