DR. CHRISTOPHER ALLEN BLAKE (NPI# 1831499532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831499532 |
Entity Type | Individual |
Full Name | DR. CHRISTOPHER ALLEN BLAKE |
Credential | DDS |
Practice Address |
17280 W North Ave Suite 102 Brookfield WI 53045-4366 |
Practice Telephone | 2627899200 |
Practice Fax Number | 2627899213 |
Mailing Telephone | 2627899200 |
Mailing Fax Number | 2627899213 |
Enumeration Date | 2010-10-27 |
Last Update Date | 2010-10-27 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
5002097015 | WI | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962450601 | Christopher A. Blake | Orthopaedic Surgery | 355 Se Baker St, Mcminnville, OR 97128-6039 | 2006-05-05 |
1245297845 | Christopher Allen Blake | Specialist/Technologist | Uchc; Marb Building 263 Farmington Ave, Farmington, CT 06030-0001 | 2006-04-27 |
1710504956 | Christopher Blake | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Internal Medicine, Albany, NY 12208 | 2020-07-04 |
1356993166 | Christopher A Blake | Counselor | 1231 Gambell St Ste 300, Anchorage, AK 99501-4664 | 2019-07-11 |
1386913416 | Christopher V Blake | Counselor | 64 Robbins St, Waterbury Hospital Crisis Center, Waterbury, CT 06708-2613 | 2011-12-19 |
1831238591 | Christopher Blake | Speech-Language Pathologist | 2795 Pilot Knob Rd, Suite #100, Eagan, MN 55121-1119 | 2007-02-06 |
1659444859 | Christopher Hamlin Blake | Counselor | 288 Bedford St, Whitman, MA 02382-1820 | 2006-11-16 |
Street Address |
17280 W NORTH AVE SUITE 102 |
City | BROOKFIELD |
State | WI |
Zip Code | 53045-4366 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740273770 | Milwaukee Eye Care Associates S.c. #2 | Ophthalmology | 17280 W North Ave, Suite 100, Brookfield, WI 53045-4366 | 2005-08-24 |
1306493846 | Chelsea Renee Swanson | Physical Therapist | 17280 W North Ave, Brookfield, WI 53045-4366 | 2019-08-20 |
1811474257 | Ashley Nicole Borkenhagen | Physical Therapy Assistant | 17280 W North Ave, Brookfield, WI 53045-4366 | 2018-07-27 |
1073015665 | Donna Lavae Pankratz | Physical Therapy Assistant | 17280 W North Ave, Brookfield, WI 53045-4366 | 2018-02-28 |
1043667868 | Patricia King | Physical Therapy Assistant | 17280 W North Ave, Brookfield, WI 53045-4366 | 2016-05-22 |
1366819161 | Mallory Lytle | Physical Therapist | 17280 W North Ave, Suite 104, Brookfield, WI 53045-4366 | 2015-08-27 |
1518334754 | Dana Miller | Occupational Therapy Assistant | 17280 W North Ave, Suite 104, Brookfield, WI 53045-4366 | 2015-08-24 |
1740664267 | Jessica Bruns | Speech-Language Pathologist | 17280 W North Ave, Suite 104, Brookfield, WI 53045-4366 | 2015-07-14 |
1659779684 | Joleen Tichelaar | Occupational Therapist | 17280 W North Ave, Brookfield, WI 53045-4366 | 2014-12-08 |
1821490467 | Katie Zenner | Physical Therapist | 17280 W North Ave, Suite 104, Brookfield, WI 53045-4366 | 2014-09-25 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801436159 | Jeannie Spoon | Behavioral Analyst | 200 N. Patrick Blvd. Ste 250, Brookfield, WI 53045 | 2020-01-14 |
1629635313 | Hallie Mackenzie Ritchay | Speech-Language Pathologist | Greenfield Rehabilitation Agency 19395 W Capitol Dr, Ste 200, Brookfield, WI 53045 | 2019-05-29 |
1427535038 | Kimberly Ann Beres | Registered Nurse | 2253 Norhardt Dr, Brookfield, WI 53045 | 2018-07-26 |
1265927768 | Brady Frederick Bachmann | Physical Therapist | 275 Regency Ct., Suite 200, Brookfield, WI 53045 | 2018-06-27 |
1841792603 | Wisconsin Renal Care Group, L.L.C. | Clinic/Center | 17500 W Capitol Drive, Brookfield, WI 53045 | 2018-03-07 |
1750828299 | Nanette Marie Kloth | Nurse Practitioner | 18110 W Bluemond Rd, Brookfield, WI 53045 | 2017-01-23 |
1144772013 | Saida Reifenrath | Acupuncturist | 240 Regency Court, Suite 102, Brookfield, WI 53045 | 2016-10-26 |
1437545951 | Kylee Stevenson | Chiropractor | 19555 W Bluemound Rd Ste 6, Brookfield, WI 53045 | 2015-04-10 |
1548659725 | Patricia Ann Kender | Nurse Practitioner | 17495 W. Capitol Dr., Brookfield, WI 53045 | 2015-01-12 |
1568882793 | Kassandra E Holzem | Dermatology | 195 Discovery Dr, Brookfield, WI 53045 | 2014-04-28 |
Find all providers in zip 53045 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700428216 | Binninger Dentistry, LLC | Dentist | 12720 W North Ave Bldg B, Brookfield, WI 53005-4637 | 2019-10-16 |
1831677244 | Euiyoung Chong | Dentist | 17160 W North Ave Ste 101, Brookfield, WI 53005-4437 | 2018-07-30 |
1720509045 | Rss William Conner LLC | Dentist | 15455 W Bluemound Rd Ste 250, Brookfield, WI 53005 | 2017-06-28 |
1710432901 | Emily Baker | Dentist | 12780 W North Ave Ste A, Brookfield, WI 53005-4601 | 2016-08-17 |
1316326093 | Zahra Al Rawi | Dentist | 115 S Moorland, Brookfield, WI 53005-4230 | 2015-05-27 |
1366837346 | Maegan Michelle Cook | Dentist | 13780 W Greenfield Ave Ste 780, Brookfield, WI 53005 | 2015-04-06 |
1780930156 | Harry W Zirgibel Jr. | Dentist | 1700 W Capitol Dr., Brookfield, WI 53005 | 2012-08-03 |
1568720613 | Christopher Vijay Soares | Dentist | 128 Candlewood Lake Rd, Brookfield, CT 06804-2226 | 2012-04-26 |
1093914772 | David Brilowski | Dentist | 17000 W North Ave Ste 104e, Brookfield, WI 53005-4423 | 2007-07-13 |
1083826390 | Mark R Boettcher | Dentist | 16905 West Wisconsin Ave, Brookfield, WI 53005-5729 | 2007-05-07 |
Find all providers in BROOKFIELD |
City | BROOKFIELD |
Zip Code | 53045 |
Please comment or provide details below to improve the information on DR. CHRISTOPHER ALLEN BLAKE.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.