WINDSOR PEDIATRIC DENTISTRY
NPI 1053690651
Dentist - Pediatric Dentistry in Windsor, CO

Active since August 12, 2011
1299 MAIN ST UNIT C, WINDSOR, CO 80550(970) 674-3247(970) 460-0865 Get Directions Write a Review

NPPES record last updated: October 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Windsor Pediatric Dentistry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WINDSOR PEDIATRIC DENTISTRY (NPI 1053690651) is a healthcare organization registered as a pediatric dentistry in Windsor, Colorado and active in the NPI registry since August 2011. The organization lists Jill Mackenzie Shonka, Owner/doctor, as its authorized official.

NPPES Registry Identity

NPI1053690651
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameWINDSOR PEDIATRIC DENTISTRY PLLC
Location Address1299 MAIN ST UNIT CWindsor, CO 80550-5918
Mailing Address1576 Main StreetWindsor, CO 80550 · (970) 674-3247 · Fax (970) 460-0865
Fax(970) 460-0865
Organization SubpartNo
Authorized OfficialJill Mackenzie ShonkaOwner/doctor · (970) 674-3247
Enumeration DateAugust 12, 2011
Last NPPES UpdateOctober 21, 2024
NPI 1053690651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in CO · 10346
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
1299 MAIN ST UNIT C, Windsor, CO 80550

Other Names 1

Doing Business AsWindsor Pediatric Dentistry

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Orthodontics and Dentofacial Orthopedics)
1299 MAIN ST UNIT C
WINDSOR, CO 80550
Dentist (Orthodontics and Dentofacial Orthopedics)
1299 MAIN ST UNIT C
WINDSOR, CO 80550
Dentist (Pediatric Dentistry)
1299 MAIN ST UNIT C
WINDSOR, CO 80550

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Windsor Pediatric Dentistry PLLC's NPI number?

The NPI number for Windsor Pediatric Dentistry PLLC is 1053690651. It was assigned to this organization in the NPPES registry on August 12, 2011. The provider is doing business as Windsor Pediatric Dentistry.

Where is Windsor Pediatric Dentistry PLLC located?

Windsor Pediatric Dentistry PLLC is located at 1299 Main St Unit C, Windsor, CO 80550. The listed phone number is (970) 674-3247.

What is Windsor Pediatric Dentistry PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Windsor Pediatric Dentistry PLLC accept?

Health plans from UnitedHealthcare list Windsor Pediatric Dentistry PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Windsor Pediatric Dentistry PLLC was last updated on October 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.