Windsong Dental, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

WINDSONG DENTAL, PLLC

Practice address

940 S Legacy Dr Ste 10
Prosper, TX 75078-2929

Phone

(469) 481-0181

NPI assigned

Dec 22, 2020

Last updated

Feb 17, 2022By 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. Svetlana Usherenko, DDSNPI 1851609820

Title

Managing Member

Phone

(214) 232-2235

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

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.

• Svetlana Vladimirovna Usherenko, DDS

  • General Practice Dentistry
  • Prosper, TX
  • NPI 1851609820
  Authorized official Same address or phone

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

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645056000000",
    "number": "1790372936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 MASON DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750254459",
            "telephone_number": "214-232-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 S LEGACY DR STE 10",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750782929",
            "telephone_number": "469-481-0181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDSONG DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-22",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A",
        "authorized_official_last_name": "USHERENKO",
        "authorized_official_first_name": "SVETLANA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "214-232-2235",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Prosper",
            "affiliation": "N",
            "address_1": "940 S. Legacy Dr.",
            "city": "Prosper",
            "state": "TX",
            "country_code": "US",
            "postal_code": "75078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Termayne Willie, LCSW
• Alexys Willis, OTD
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• Kalynne Wolford, PT
• Jonathan Woodward

• Dental Clinic/Center in Prosper, TX
• Providers in Prosper, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; 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.