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DR. CHRISTOPHER ALLEN BLAKE DDS
NPI 1831499532
Dentist - General Practice in Brookfield, WI

Active since October 27, 2010Opted out of Medicare · through May 20, 2027
17280 W NORTH AVE, SUITE 102, BROOKFIELD, WI 53045(262) 789-9200(262) 789-9213 Get Directions Write a Review

NPPES record last updated: October 27, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Christopher Allen Blake Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHRISTOPHER ALLEN BLAKE DDS (NPI 1831499532) is an individual general practice provider in Brookfield, Wisconsin, licensed in Wisconsin (5002097015) and active in the NPI registry since October 2010. He has opted out of Medicare through May 20, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1831499532
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. CHRISTOPHER ALLEN BLAKECredential: DDS
Location Address17280 W NORTH AVE, SUITE 102Brookfield, WI 53045-4366
Mailing Address17280 W North Ave, Suite 102Brookfield, WI 53045-4366 · (262) 789-9200 · Fax (262) 789-9213
Phone(262) 789-9200
Fax(262) 789-9213
Sole ProprietorYes
Enumeration DateOctober 27, 2010
✔ NPI 1831499532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WI · 5002097015
Definition
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.
17280 W NORTH AVE, Brookfield, WI 53045
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Christopher Allen Blake Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 20, 2015 through May 20, 2027.

Opt-Out Effective DateMay 20, 2015
Opt-Out In Effect ThroughMay 20, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53045 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTIN M GEHRINGER PT
Physical Therapist
17280 W NORTH AVE, #104
BROOKFIELD, WI 53045
Waukesha County (262) 780-0707
KATE JABLONSKI SLP
Speech-Language Pathologist
17280 W NORTH AVE, #104
BROOKFIELD, WI 53045
Waukesha County (262) 780-0707
MRS. KAY LYNNE LUCK OTR
Occupational Therapist
17280 W NORTH AVE, #104
BROOKFIELD, WI 53045
Waukesha County (262) 780-0707
MRS. SHELLEY SUE BRENHOLT PT
Physical Therapist
17280 W NORTH AVE, # 104
BROOKFIELD, WI 53045
Waukesha County (262) 780-0707
MEGAN WOEHRER
Speech-Language Pathologist
17280 W NORTH AVE
BROOKFIELD, WI 53045
Waukesha County (262) 928-8830
MRS. KIMBERLY ANN BECKMANN OTR
Occupational Therapist
17280 W NORTH AVE, # 104
BROOKFIELD, WI 53045
Waukesha County (262) 780-0707
CINDY VAN VALIN OTR
Occupational Therapist
17280 W NORTH AVE, #104
BROOKFIELD, WI 53045
Waukesha County (262) 780-0707
PATRICIA KING
Physical Therapy Assistant
17280 W NORTH AVE
BROOKFIELD, WI 53045
Waukesha County (262) 780-0707

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Christopher Blake's NPI number?

The NPI number for Christopher Blake is 1831499532. It was assigned to this individual provider in the NPPES registry on October 27, 2010.

Where is Christopher Blake located?

Christopher Blake practices at 17280 W North Ave Suite 102, Brookfield, WI 53045. The listed phone number is (262) 789-9200.

What is Christopher Blake's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Christopher Blake enrolled in Medicare?

No. Christopher Blake has opted out of Medicare through May 20, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Christopher Blake was last updated on October 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.