Individual provider Active NPI

Todd J Wind, DDS

  • Dentist
  • Saint Louis, MO
National Provider Identifier
1861679623
Registry record updated Jan 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2001011238 Issued in MO
Practice address
12109 Tesson Ferry Professional Ctr
Saint Louis, MO 63128-1250
Phone
(314) 843-2078
Fax
(314) 843-1255
NPI assigned
Jan 23, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2001011238 MO Primary

Addresses

Primary practice location

12109 Tesson Ferry Professional Ctr
Saint Louis, MO 63128-1250

Mailing address

12109 Tesson Ferry Professional Ctr
Saint Louis, MO 63128-1250
Phone (314) 843-2078

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
I20160509001580 MO Order and Referring Only - DentistPractitioner - Dentist 3779880950

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2001011238MOMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Todd J Wind Enterprises LLC Dentist Current Accepting new patients
BB Family Dental LLC Past Accepting new patients

Organizations & group practices 2

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": "1201046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201046400000",
    "number": "1861679623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12109 TESSON FERRY PROFESSIONAL CTR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631281250",
            "telephone_number": "314-843-2078",
            "fax_number": "314-843-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12109 TESSON FERRY PROFESSIONAL CTR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631281250",
            "telephone_number": "314-843-2078",
            "fax_number": "314-843-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIND",
        "first_name": "TODD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2001011238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.