Blaise C. Eckert, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

BLAISE C. ECKERT, DDS

Practice address

68 Leonard St Ste 301
Belmont, MA 02478-2574

Phone

(617) 484-5266

Fax

(617) 484-2739

NPI assigned

Jun 30, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Blaise C Eckert, DDSNPI 1720096076

Title

Owner/Oral & Maxillofacial Surgeon

Phone

(617) 484-5266

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Blaise C Eckert, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Belmont, MA
  • NPI 1720096076

  Oral and Maxillofacial Surgery

  NPD Authorized official

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625011200000",
    "number": "1013587146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 LEONARD ST STE 301",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024782574",
            "telephone_number": "617-484-5266",
            "fax_number": "617-484-2739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 LEONARD ST STE 301",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024782574",
            "telephone_number": "617-484-5266",
            "fax_number": "617-484-2739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAISE C. ECKERT, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A",
        "authorized_official_last_name": "ECKERT",
        "authorized_official_first_name": "BLAISE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/ORAL & MAXILLOFACIAL SURGEON",
        "authorized_official_telephone_number": "617-484-5266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nina Bernard, LICSW
• Matthew E Bernstein, M.D.
• Stephanie Gironde Best, PH.D.
• Kristin Beville, LICSW
• Sheldon C Binder, M.D.
• Sallye F. Bleiberg, MSW
• J. Alexander Bodkin, M.D.
• Olivera Jovan Bogunovic-Sotelo, MD
• Kirsten W Bolton, LICSW
• Paula S Bolton, APRN, BC

• All providers in Belmont, MA
• Oral and Maxillofacial Surgery (Dentist) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.