Active NPI
Daniel Winokur, DMD
- Oral and Maxillofacial Surgery (Dentist)
- Naples, FL
National Provider Identifier
1063825677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DN25704
- Practice address
- 1459 Ridge St Ste 1
Naples, FL 34103-4243 - Phone
- (239) 263-7474
- Fax
- (239) 263-2528
- NPI assigned
- Jun 11, 2014
- 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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DN25704 | FL | Primary |
Addresses
Primary practice location
1459 Ridge St Ste 1
Naples, FL 34103-4243
Mailing address
1459 Ridge St Ste 1
Naples, FL 34103-4243
Phone (239) 263-7474
Other practice location 1
9540 Bonita Beach Rd SE Ste 105
Bonita Springs, FL 34135-4770
Phone (239) 992-9201
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 22, 2018 through Oct 22, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN25704 | FL | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westshore Oms Specialists | Oral and Maxillofacial Surgery | Past | Accepting new patients |
| Fairfax Oral and Maxillofacial Surgery PC | Oral and Maxillofacial Surgery | 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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Naples, FL
- NPI 1699917203
-
- Oral and Maxillofacial Surgery (Dentist)
- Fairfax, VA
- NPI 1710907134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639699200000",
"number": "1063825677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1459 RIDGE ST STE 1",
"city": "NAPLES",
"state": "FL",
"postal_code": "341034243",
"telephone_number": "239-263-7474",
"fax_number": "239-263-2528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1459 RIDGE ST STE 1",
"city": "NAPLES",
"state": "FL",
"postal_code": "341034243",
"telephone_number": "239-263-7474",
"fax_number": "239-263-2528"
}
],
"practiceLocations": [
{
"address_1": "9540 Bonita Beach Rd SE Ste 105",
"address_purpose": "LOCATION",
"city": "Bonita Springs",
"state": "FL",
"postal_code": "341354770",
"country_code": "US",
"telephone_number": "239-992-9201",
"fax_number": "239-263-2528",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WINOKUR",
"first_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-11",
"last_updated": "2021-12-17",
"certification_date": "2021-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "FL",
"license": "DN25704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.