William Bloink, DMD

Primary specialty

DentistTaxonomy code 122300000X

Practice address

2943 W White Oaks Dr
Springfield, IL 62704-6544

Phone

(217) 793-8899

Fax

(217) 793-9662

NPI assigned

Mar 22, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dental Professionals of Illinois, P.C.

  • General Practice Dentistry
  • Springfield, IL
  • NPI 1952523284
  NPD (past)
• Lifetime Dental Care of Illinois, PC

  • General Practice Dentistry
  • Springfield, IL
  • NPI 1700099066
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689790388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2943 W WHITE OAKS DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627046544",
            "telephone_number": "217-793-8899",
            "fax_number": "217-793-9662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2943 W WHITE OAKS DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627046544",
            "telephone_number": "217-793-8899",
            "fax_number": "217-793-9662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOINK",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1004360",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lorie Ann Bleyer, M.D.
• Marisa Blitstein, M.D.
• Ileesha Blocker
• Aneley Blodgett
• William August Bloink IV
• Scott Blomberg, O.D.
• Carmen Blomquist, APRN
• Ellen R Blood, P.A.
• Andrea Nicole Bloodworth, APN, BSN, RN
• Bloom Counseling and Associates

• Dentist in Springfield, IL
• Providers in Springfield, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.