DR. WARREN WILLIAM BLAKE (NPI# 1841380060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841380060 |
| Entity Type | Individual |
| Full Name | DR. WARREN WILLIAM BLAKE |
| Credential | DDS |
| Practice Address |
66 Harwich Road Brewster MA 02631-1838 |
| Mailing Address |
Po Box 848 Brewster MA 02631-1838 |
| Practice Telephone | 5088966458 |
| Practice Fax Number | 5088965353 |
| Mailing Telephone | 5088966458 |
| Mailing Fax Number | 5088965353 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN12933 | MA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BLUE CROSS SHIELD | X04826 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497984009 | Warren Blake | Social Worker | 25 Chapel St Ste 903, Brooklyn, NY 11201-1955 | 2009-07-06 |
| Street Address |
66 HARWICH ROAD |
| City | BREWSTER |
| State | MA |
| Zip Code | 02631-1838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548813850 | Pleasant Bay of Brewster Rehab Center LLC | Skilled Nursing Facility | 383 South Orleans Road, Brewster, MA 02631 | 2019-07-17 |
| 1669972790 | Julie Lynne Mollica | Social Worker | 456 Flax Pond Road, Brewster Treatment Program, Old Colony Ymca, Brewster, MA 02631 | 2018-02-15 |
| 1295244168 | Michele Louise Oconnor | Occupational Therapist | 1721 Long Pond Road, Brewster, MA 02631 | 2017-09-23 |
| 1356799902 | Katherine Drach Reilly | Behavioral Analyst | 63 Brook Trail Rd, Brewster, MA 02631 | 2016-05-24 |
| 1407214901 | Md Visits LLC | Emergency Medicine | 162 Highland Moors Dr., Brewster, MA 02631 | 2016-01-29 |
| 1720350390 | Kevin Whelley | Counselor | 21 Cross Street, Brewster, MA 02631 | 2012-01-30 |
| 1518238609 | Pleasant Bay Health and Wellness Center LLC | Physical Therapist | 64 Woodlands Way, Brewster, MA 02631 | 2012-01-20 |
| 1184740953 | Jacs Ops IIi, Inc | Assisted Living Facility | 855 Harwich Road, Brewster, MA 02631 | 2007-03-22 |
| 1184763997 | Beverly Ann Biondi | Physical Therapist | 84 Underpass Rd, Brewster, MA 02631 | 2007-02-06 |
| 1679646384 | Paul James Tausek | Social Worker | 25 Breakwater Rd, Brewster, MA 02631 | 2006-11-17 |
| Find all providers in zip 02631 | ||||
| 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 |
|---|---|---|---|---|
| 1639436876 | Oak Tree Family Dental | Dentist | 2410 Rt. 6, Brewster, NY 10509 | 2012-04-12 |
| 1629294111 | Carl Frederick Ern | Dentist | 2435 Route 6, Middlebranch Offices, Brewster, NY 10509-2537 | 2007-04-17 |
| 1184746075 | Harry Kavoogian Jr. | Dentist | 97 Canoe Pond Dr, Brewster, MA 02631-2309 | 2007-04-04 |
| 1568580488 | Oak Tree Dental Care PC | Dentist | 2410 Route 6, Brewster, NY 10509 | 2007-03-27 |
| 1659476679 | Timothy C Mcadams | Dentist | 2187 Main St, Brewster, MA 02631-1817 | 2006-09-14 |
| 1235231515 | Anthony V Escriva | Dentist | 411 Clock Tower Commons Rt 22, Brewster, NY 10509 | 2006-09-05 |
| 1447361902 | Christopher M. Garland | Dentist | 263 N Brewster Rd, Brewster, NY 10509-2844 | 2006-08-31 |
| 1528172673 | Herbert L Gumpright Jr. | Dentist | 2452 Main Street, Brewster, MA 02631 | 2006-08-18 |
| 1861461683 | Mark J Melkonian | Dentist | 162 Prospect Hill Rd, Brewster, NY 10509-2331 | 2006-03-15 |
| 1881661049 | Boyd Luwayne Stout | Dentist | 11 Hospital Way, Brewster, WA 98812-0006 | 2006-03-07 |
| Find all providers in BREWSTER | ||||
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| 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.