Individual provider Active NPI

Christopher Peter Blanchard, DDS

  • General Practice Dentistry
  • Hammond, LA
National Provider Identifier
1003432253
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7092 Issued in LA
Practice address
212 W Minnesota Park Rd
Hammond, LA 70403-6125
Phone
(985) 542-3368
NPI assigned
Jun 23, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7092 LA Primary

Addresses

Primary practice location

212 W Minnesota Park Rd
Hammond, LA 70403-6125

Mailing address

13301 State St
Hammond, LA 70403-2172
Phone (985) 507-5308

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
7092LAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Annette D Theriot DDS & Bryan P Daigle DDS General Practice PastSince Jun 1, 2020 Accepting new patients

Networks

  • MS PPO C-SNP
  • TX HMO D-SNP
  • MS PPO D-SNP
  • LA PPO C-SNP

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1003432253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13301 STATE ST",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704032172",
            "telephone_number": "985-507-5308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W MINNESOTA PARK RD",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704036125",
            "telephone_number": "985-542-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCHARD",
        "first_name": "CHRISTOPHER",
        "middle_name": "PETER",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-23",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "7092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.