Individual provider Active NPI

Victoria Blem, DDS

  • Dentist
  • Grove City, OH
National Provider Identifier
1093339376
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30.026100 Issued in OH
Practice address
3391 Farm Bank Way
Grove City, OH 43123-1973
Phone
(614) 594-2002
NPI assigned
Jun 3, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30.026100 OH Primary

Addresses

Primary practice location

3391 Farm Bank Way
Grove City, OH 43123-1973

Mailing address

3391 Farm Bank Way
Grove City, OH 43123-1973
Phone (614) 594-2002

Other practice location 1

6025 S Sunbury Rd
Westerville, OH 43081-3846
Phone (614) 891-6767

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
30.026100OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
614 Smiles, Victoria Blem, DDS Current Accepting new patients
Haid & Johnson CurrentSince Oct 2, 2022 Accepting new patients

Locations

3391 Farm Bank Way
Grove City, OH 43123
Phone (614) 594-2002

Organizations & group practices 2

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": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1093339376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3391 FARM BANK WAY",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431231973",
            "telephone_number": "614-594-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3391 FARM BANK WAY",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431231973",
            "telephone_number": "614-594-2002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6025 S Sunbury Rd",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430813846",
            "country_code": "US",
            "telephone_number": "614-891-6767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLEM",
        "first_name": "VICTORIA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-03",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.026100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove City, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.