Individual provider Active NPI

Tiffanie C. Winfrey, DDS

  • General Practice Dentistry
  • Laurel, MD
National Provider Identifier
1801969464
Registry record updated Aug 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12672 Issued in MD
Practice address
13900 Laurel Lakes Ave
Suite 200
Laurel, MD 20707-5091
Phone
(301) 483-6767
Fax
(301) 483-6765
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2009

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 12672 MD Primary

Addresses

Primary practice location

13900 Laurel Lakes Ave
Suite 200
Laurel, MD 20707-5091

Mailing address

13900 Laurel Lakes Ave
Suite 200
Laurel, MD 20707-5091
Phone (301) 483-6767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20180426002839 MD Order and Referring Only - DentistPractitioner - Dentist 4981968971

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
HLW Winfrey Consulting PA General Practice Past Accepting new patients

Organizations & group practices 1

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250553600000",
    "number": "1801969464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13900 LAUREL LAKES AVE",
            "address_2": "SUITE 200",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075091",
            "telephone_number": "301-483-6767",
            "fax_number": "301-483-6765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13900 LAUREL LAKES AVE",
            "address_2": "SUITE 200",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075091",
            "telephone_number": "301-483-6767",
            "fax_number": "301-483-6765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINFREY",
        "first_name": "TIFFANIE",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2009-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "12672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

Verify at the official NPI Registry.