Individual provider Active NPI

Maria-Antonia Winemiller

  • General Practice Dentistry
  • Warrenton, MO
National Provider Identifier
1770897035
Registry record updated Mar 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2010022548 Issued in MO
Practice address
19515 Brune Pkwy
Warrenton, MO 63383-6505
Phone
(636) 456-1500
NPI assigned
Jul 28, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2018

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 2010022548 MO Primary

Addresses

Primary practice location

19515 Brune Pkwy
Warrenton, MO 63383-6505

Mailing address

1800 Community
Clinton, MO 64735-8804
Phone (660) 885-8131

Other identifiers 1

IdentifierTypeStateIssuer
1770897035MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20220316000135 MO Practitioner - Dentist 0749675437 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Health, Inc CurrentSince Jan 1, 2022 Accepting new patients
Winemiller Family Dentistry, LLC Current Accepting new patients
Compass Health, Inc CurrentSince Jan 1, 2022 Accepting new patients

Locations

1800 Community
#B
Clinton, MO 64735

1800 Community
Clinton, MO 64735
Phone (660) 885-8131

704 E Highway 28
Owensville, MO 65066
Phone (573) 437-2959

102 Compass Point Dr
Saint Charles, MO 63301
Phone (636) 332-8318

2645 Muegge Rd
Saint Charles, MO 63303
Phone (636) 939-6868

101 Progress Pkwy
Sullivan, MO 63080
Phone (573) 468-3555

91 Troy Sq
Troy, MO 63379

1780 Old Highway 50 E
Ste 111
Union, MO 63084
Phone (636) 584-0305

19515 Brune Pkwy
Warrenton, MO 63383
Phone (636) 235-4049

1030 Wolfrum Rd
Weldon Spring, MO 63304
Phone (314) 339-7732

1032 Crosswinds Ct
Wentzville, MO 63385
Phone (636) 332-6000

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521504000000",
    "number": "1770897035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 COMMUNITY",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647358804",
            "telephone_number": "660-885-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19515 BRUNE PKWY",
            "city": "WARRENTON",
            "state": "MO",
            "postal_code": "633836505",
            "telephone_number": "636-456-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINEMILLER",
        "first_name": "MARIA-ANTONIA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-28",
        "last_updated": "2018-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2010022548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770897035",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenton, MO

Sources for this page

Verify at the official NPI Registry.