Blatchley Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BLATCHLEY DENTAL CORPORATION

Practice address

426 Barcellus Ave Ste 105
Santa Maria, CA 93454-6926

Phone

(805) 347-4785

Fax

(805) 347-4787

NPI assigned

Jun 10, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Ryan Taylor Blatchley, DDSNPI 1063870319

Title

President

Phone

(619) 508-4935

Specialties & licenses 1

Addresses

Other names 1

• Blatchley Family Dentistry Doing business as

Locations

Practitioners 2

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

• Ryan Taylor Blatchley, D.D.S.

  • Dentist
  • Santa Maria, CA
  • NPI 1063870319
  NPD Authorized official
• Warren F Gabaree Jr., DDS, MED

  • General Practice Dentistry
  • Jacksonville, NC
  • NPI 1710965744
  NPD (past)

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560124800000",
    "number": "1093374456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 BARCELLUS AVE STE 105",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934546926",
            "telephone_number": "805-347-4785",
            "fax_number": "805-347-4787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 BARCELLUS AVE STE 105",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934546926",
            "telephone_number": "805-347-4785",
            "fax_number": "805-347-4787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLATCHLEY DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-06-10",
        "status": "A",
        "authorized_official_last_name": "BLATCHLEY",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "TAYLOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-508-4935",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blatchley Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Blackwell
• Denise Blair
• Robert Phelps Blais, LMFT
• Larry Blanchard
• Jacqueline Blanco
• Ryan Taylor Blatchley, D.D.S.
• Dennis J Blaul
• Adrian X. Blissfield
• Blochman Union Elementary School District
• Joseph Blumberg

• General Practice Dentistry in Santa Maria, CA
• Providers in Santa Maria, 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 Jun 10, 2019; 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.