Active NPI
Alan Wolkoff D,M.D.
- Dentist
- Waterbury, CT
National Provider Identifier
1942553060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5389
- Legal business name
- ALAN WOLKOFF D,M.D.
- Practice address
- 93 Wedgewood Dr
Waterbury, CT 06705-3611 - Phone
- (203) 753-2274
- Fax
- (203) 597-8656
- NPI assigned
- Oct 26, 2012
- Last updated
- Oct 26, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alan Wolkoff, D.M.D.
- Title
- Owner
- Phone
- (203) 753-2274
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5389 | CT | Primary |
Addresses
Primary practice location
93 Wedgewood Dr
Waterbury, CT 06705-3611
Mailing address
93 Wedgewood Dr
P,O,Box 3066
Waterbury, CT 06705-3611
Phone (203) 753-2274
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002053890 | Medicaid | CT |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Waterbury, CT
- NPI 1881759579
-
- Dental Hygienist
- Waterbury, CT
- NPI 1730952805
-
- General Practice Dentistry
- Waterbury, CT
- NPI 1780828079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351209600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1351209600000",
"number": "1942553060",
"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",
"fax_number": "203-597-8656"
},
{
"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",
"fax_number": "203-597-8656"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALAN WOLKOFF D,M.D.",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-26",
"last_updated": "2012-10-26",
"status": "A",
"authorized_official_last_name": "WOLKOFF",
"authorized_official_first_name": "ALAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "203-753-2274",
"authorized_official_credential": "D.M.D."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CT",
"license": "5389",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002053890",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.