Blake I Winokur DMD P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10185 Issued in CT

Legal business name

BLAKE I WINOKUR DMD P.C.

Doing business as

Rolling Hills Dentistry

Practice address

53 North St
Danbury, CT 06810-5637

Phone

(203) 743-0783

NPI assigned

Sep 7, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Blake Winokur, DMD

Title

Owner

Phone

(203) 743-0783

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rolling Hills Dentistry Doing business as

Locations

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1750809091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 NORTH ST",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105637",
            "telephone_number": "12037430783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 NORTH ST",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105637",
            "telephone_number": "203-743-0783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAKE I WINOKUR DMD P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WINOKUR",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-743-0783",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "10185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932412657",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rolling Hills Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Danbury, CT
• Providers in Danbury, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.