Shevchuk and Kaur General Dental Partnership

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SHEVCHUK AND KAUR GENERAL DENTAL PARTNERSHIP

Doing business as

Windsor Dental Group

Practice address

9025 Old Redwood Hwy Ste a
Windsor, CA 95492-8881

Phone

(707) 838-3363

NPI assigned

May 10, 2018

Last updated

May 10, 2018By 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

Andriy Shevchuk, DDS

Title

Partner

Phone

(909) 809-1089

Specialties & licenses 1

Addresses

Other names 1

• Windsor Dental Group Doing business as

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.

• William T Conklin, DDS

  • Dentist
  • Windsor, CA
  • NPI 1922161355
  NPD (past)

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525910400000",
    "number": "1902396328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9025 OLD REDWOOD HWY STE A",
            "city": "WINDSOR",
            "state": "CA",
            "postal_code": "954928881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9025 OLD REDWOOD HWY STE A",
            "city": "WINDSOR",
            "state": "CA",
            "postal_code": "954928881",
            "telephone_number": "707-838-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEVCHUK AND KAUR GENERAL DENTAL PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-10",
        "last_updated": "2018-05-10",
        "status": "A",
        "authorized_official_last_name": "SHEVCHUK",
        "authorized_official_first_name": "ANDRIY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "909-809-1089",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Windsor Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tabitha A Scott, LCSW
• Marianne Garcia Seli
• Sung Eun Seo
• Serafica Dental Corporation
• Regina Pronstroller Serafica, DMD
• Shiloh Green Homes LLC (Shiloh Green Manor II)
• Gary Dean Siela, LMFT
• Shanae Simi
• Alexis Siniscalco, PPS
• Sonoma County Fire District

• General Practice Dentistry in Windsor, CA
• Providers in Windsor, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; 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.