Hera Zoe Blazer, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30244 Issued in CA

Practice address

3556 Concord Blvd
Concord, CA 94519

Phone

(925) 685-4820

Fax

(925) 685-4824

NPI assigned

Aug 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Scott Pope Dentistry, P.C.

  • General Practice Dentistry
  • Concord, CA
  • NPI 1568005957
  NPD (past)

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186531200000",
    "number": "1013108646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3556 CONCORD BLVD",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "94519",
            "telephone_number": "925-685-4820",
            "fax_number": "925-685-4824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3556 CONCORD BLVD",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "94519",
            "telephone_number": "925-685-4820",
            "fax_number": "925-685-4824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAZER",
        "first_name": "HERA",
        "middle_name": "ZOE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-08",
        "last_updated": "2007-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "30244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Larkin Blankenbaker
• Mercedes N/a Blasco Castro II
• Brian Burke Blatter, DDS
• Ashley Blaufuss
• Weishing Cynthia Blaylock, OD
• Chloe Blazey
• Amy Sawyer Bleichner, MOT, OTR/L
• Jesey Lynn-Marie Blevins
• Serina Bliss
• Rio Bloom

• General Practice Dentistry in Concord, CA
• Providers in Concord, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.