Individual provider Active NPI

Blake I. Winokur, D.M.D.

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1932412657
Registry record updated Jul 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
054940-1 Issued in NY
Practice address
184 Lexington Ave
Apt. 3B
New York, NY 10016-6839
Phone
(954) 882-7056
NPI assigned
Jul 22, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 054940-1 NY Primary
General Practice Dentistry 1223G0001X 18707 FL

Addresses

Primary practice location

184 Lexington Ave
Apt. 3B
New York, NY 10016-6839

Mailing address

184 Lexington Ave
Apt. 3B
New York, NY 10016-6839
Phone (954) 882-7056

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
18707FLMDGeneral Practice Dentistry
054940-1NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279756800000",
    "number": "1932412657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 LEXINGTON AVE",
            "address_2": "APT. 3B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166839",
            "telephone_number": "954-882-7056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 LEXINGTON AVE",
            "address_2": "APT. 3B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166839",
            "telephone_number": "954-882-7056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINOKUR",
        "first_name": "BLAKE",
        "middle_name": "I.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-22",
        "last_updated": "2010-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "054940-1",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "18707",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; 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.