Individual provider Active NPI

Jasmyn Soleilhye Blancaflor, DMD

  • Dentist
  • Seattle, WA
National Provider Identifier
1063932085
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
60761567 Issued in WA
Practice address
1911 Queen Anne Ave N
Seattle, WA 98109-2549
Phone
(206) 284-3780
NPI assigned
Jun 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 60761567 WA Primary

Addresses

Primary practice location

1911 Queen Anne Ave N
Seattle, WA 98109-2549

Mailing address

5229 38TH Ave SW Unit C
Seattle, WA 98126-2870
Phone (509) 499-9425

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
60761567WAMDDentist

Practice roles (3 of 4)

OrganizationSpecialtyStatusNew patients
Jasmyn Blancaflor DMD PLLC CurrentSince Mar 12, 2024 Accepting new patients
Washington Dental Corporation Past Accepting new patients
David M Arndt DDS PS Dentist PastSince Mar 12, 2024 Accepting new patients

Locations

1911 Queen Anne Ave N
Seattle, WA 98109
Phone (206) 284-3780

Networks

  • WA PPO C-SNP

Organizations & group practices 3

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": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1063932085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5229 38TH AVE SW UNIT C",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981262870",
            "telephone_number": "509-499-9425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 QUEEN ANNE AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981092549",
            "telephone_number": "206-284-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCAFLOR",
        "first_name": "JASMYN",
        "middle_name": "SOLEILHYE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-21",
        "last_updated": "2024-03-07",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "60761567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.