Active NPI
Arlan Jay Winikoff, DDS
- Dentist
- Edina, MN
National Provider Identifier
1619953320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 09370
- Practice address
- 7373 France Ave S #500
Edina, MN 55435 - Phone
- (952) 831-2800
- Fax
- (952) 831-5805
- NPI assigned
- Dec 15, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 | 09370 | MN | Primary |
Addresses
Primary practice location
7373 France Ave S #500
Edina, MN 55435
Mailing address
7373 France Ave S #500
Edina, MN 55435
Phone (952) 831-2800
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09370 | MN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centennial Lakes Dental Group | 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 and National Provider Directory roles.
-
- Dentist
- Edina, MN
- NPI 1801982111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540857600000",
"number": "1619953320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7373 FRANCE AVE S #500",
"city": "EDINA",
"state": "MN",
"postal_code": "55435",
"telephone_number": "952-831-2800",
"fax_number": "952-831-5805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7373 FRANCE AVE S #500",
"city": "EDINA",
"state": "MN",
"postal_code": "55435",
"telephone_number": "952-831-2800",
"fax_number": "952-831-5805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINIKOFF",
"first_name": "ARLAN",
"middle_name": "JAY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-15",
"last_updated": "2018-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "09370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.