Organization Active NPI

Thomas Lee Winegarden

Doing business as A Beautiful Smile

  • Dentist
  • Fresno, CA
National Provider Identifier
1861675597
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
29905 Issued in CA
Legal business name
THOMAS LEE WINEGARDEN
Doing business as
A Beautiful Smile
Practice address
6767 N Fresno St
Suite 200
Fresno, CA 93710-3709
Phone
(559) 447-3020
Fax
(559) 447-3025
NPI assigned
Dec 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Dr. Thomas Lee Winegarden, D.D.S.NPI 1740374453
Title
Owner
Phone
(559) 447-3020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 29905 CA Primary

Addresses

Primary practice location

6767 N Fresno St
Suite 200
Fresno, CA 93710-3709

Mailing address

6767 N Fresno St
Suite 200
Fresno, CA 93710-3709
Phone (559) 447-3020

Other names 1

  • A Beautiful Smile Doing business as

National Provider Directory

National Provider Directory

Locations

6767 N Fresno St
Ste 200
Fresno, CA 93710
Phone (559) 447-3020

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1861675597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6767 N FRESNO ST",
            "address_2": "SUITE 200",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937103709",
            "telephone_number": "559-447-3020",
            "fax_number": "559-447-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6767 N FRESNO ST",
            "address_2": "SUITE 200",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937103709",
            "telephone_number": "559-447-3020",
            "fax_number": "559-447-3025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS LEE WINEGARDEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "WINEGARDEN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-447-3020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "29905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Beautiful Smile",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.