Active NPI
Lucas Winder, DDS
- Dentist
- Indianola, IA
National Provider Identifier
1871758425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 08797
- Practice address
- 2000 N 4TH St
Indianola, IA 50125-4500 - Phone
- (515) 961-0534
- NPI assigned
- Jul 23, 2008
- Last updated
- Oct 4, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 08797 | IA | Primary |
Addresses
Primary practice location
2000 N 4TH St
Indianola, IA 50125-4500
Mailing address
2000 N 4TH St
Indianola, IA 50125-4500
Phone (515) 961-0534
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08797 | IA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Young General Dental Practice, PC | Dentist | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Des Moines, IA
- NPI 1437288693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570147200000",
"number": "1871758425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 N 4TH ST",
"city": "INDIANOLA",
"state": "IA",
"postal_code": "501254500",
"telephone_number": "515-961-0534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 N 4TH ST",
"city": "INDIANOLA",
"state": "IA",
"postal_code": "501254500",
"telephone_number": "515-961-0534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINDER",
"first_name": "LUCAS",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-23",
"last_updated": "2019-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IA",
"license": "08797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianola, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.