Alan Wolkoff, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

005389 Issued in CT

Practice address

93 Wedgewood Dr
Waterbury, CT 06705-3611

Phone

(203) 753-2274

NPI assigned

Dec 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Alan Wolkoff D,M.D.

  • Dentist
  • Waterbury, CT
  • NPI 1942553060
  NPD (past) Authorized official
• Integrative Nutrition Solutions

  • Nutritionist
  • Waterbury, CT
  • NPI 1356971998
  NPD (past)

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

{
    "created_epoch": "1167004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881759579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 WEDGEWOOD DR",
            "address_2": "P.O.BOX 3066",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067053611",
            "telephone_number": "203-753-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 WEDGEWOOD DR",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067053611",
            "telephone_number": "203-753-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLKOFF",
        "first_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "005389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• WJ Human Services LLC
• Amanda Wochek
• Bernd Woerner, MD
• Wolcott Street Dental-2, PC
• Matthew Wolenski, MD
• Elaine Schulman Wolkoff, M.S.
• Jay Wolkoff, CDN
• Woman'S Choice Perinatal Services
• Women and Childrens Program
• Deidre - Ann Wong

• General Practice Dentistry in Waterbury, CT
• Providers in Waterbury, 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 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.