Active NPI
Giancarlo Bland, DMD
- Oral and Maxillofacial Pathology Dentistry
- Boca Raton, FL
National Provider Identifier
1104911015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Pathology Dentistry
- License
- DN16134
- Practice address
- 2499 Glades Rd.
Suite 309
Boca Raton, FL 33431-7202 - Phone
- (561) 826-2002
- Fax
- (561) 826-2003
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Pathology Dentistry | 1223P0106X | DN16134 | FL | Primary |
Addresses
Primary practice location
2499 Glades Rd.
Suite 309
Boca Raton, FL 33431-7202
Mailing address
2499 Glades Rd
Suite 309
Boca Raton, FL 33431-7202
Phone (561) 826-2002
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN16134 | FL | MD | Oral and Maxillofacial Pathology Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254873600000",
"number": "1104911015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2499 GLADES RD",
"address_2": "SUITE 309",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334317202",
"telephone_number": "561-826-2002",
"fax_number": "561-826-2003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2499 GLADES RD.",
"address_2": "SUITE 309",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334317202",
"telephone_number": "561-826-2002",
"fax_number": "561-826-2003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAND",
"first_name": "GIANCARLO",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2009-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0106X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Pathology",
"state": "FL",
"license": "DN16134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.