1. Home
  2. Directory
  3. Florida
  4. St Augustine
  5. Dentist
  6. NPI Profile

JON WINDOM DDS
NPI 1205043809
Dentist - General Practice in St Augustine, FL

Active since May 16, 2007PECOS Enrolled
1081 A1A BEACH BLVD, ST AUGUSTINE, FL 32080(904) 471-3291 Get Directions Write a Review

NPPES record last updated: September 2, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jon Windom Dds NPPES

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

JON WINDOM DDS (NPI 1205043809) is an individual general practice provider in St Augustine, Florida, licensed in Florida (DN14686) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205043809
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJON WINDOMCredential: DDS
Location Address1081 A1A BEACH BLVDSt Augustine, FL 32080-6733
Mailing Address105 Heritage CirOrmond Beach, FL 32174-4208 · (386) 673-1257
Phone(904) 471-3291
Sole ProprietorNo
Enumeration DateMay 16, 2007
Last NPPES UpdateSeptember 2, 2015
✔ NPI 1205043809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in FL · DN14686
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1081 A1A BEACH BLVD, St Augustine, FL 32080
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jon Windom Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32080 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MISS MORGAN R FARRELL RDH
Dental Hygienist
1081 A1A BEACH BLVD
ST AUGUSTINE, FL 32080
St. Johns County (904) 471-3291
DR. SHANTA WARRIS SINGH D.D.S.
Dentist (General Practice)
1081 A1A BEACH BLVD
ST AUGUSTINE, FL 32080
St. Johns County (904) 417-3291
COAST DENTAL P.A.
Dentist
1081 A1A BEACH BLVD
ST AUGUSTINE, FL 32080
St. Johns County (904) 471-3291

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 Jon Windom's NPI number?

The NPI number for Jon Windom is 1205043809. It was assigned to this individual provider in the NPPES registry on May 16, 2007.

Where is Jon Windom located?

Jon Windom practices at 1081 A1a Beach Blvd, St Augustine, FL 32080. The listed phone number is (904) 471-3291.

What is Jon Windom's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jon Windom enrolled in Medicare?

Yes. Jon Windom is registered in the Medicare PECOS enrollment system.

What insurance does Jon Windom accept?

Health plans from Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield, BEST Life and Blue Cross and Blue Shield of Alabama and 14 other insurers list Jon Windom 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 Jon Windom was last updated on September 2, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.