Dennis J. Blume, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

341960-9922 Issued in UT

Practice address

10 S 300 E
Provo, UT 84606-3201

Phone

(801) 375-8770

NPI assigned

Feb 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Networks

• UT PPO D-SNP

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CDFCAD

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.

• Hobble Creek Dental Care

  • General Practice Dentistry
  • Springville, UT
  • NPI 1689930117
  NPD (past)
• Smile Center

  • Dental Clinic/Center
  • Provo, UT
  • NPI 1790994465
  NPD (past)
• Wayne Community Health Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Bicknell, UT
  • NPI 1093816282
  NPD (past)
• Wayne Community Health Centers, Inc

  • Dental Clinic/Center
  • Escalante, UT
  • NPI 1871014092
  NPD (past)

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1124153507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 S 300 E",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846063201",
            "telephone_number": "801-375-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 S 300 E",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846063201",
            "telephone_number": "801-375-8770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "143 E 200 S",
            "address_purpose": "LOCATION",
            "city": "Springville",
            "state": "UT",
            "postal_code": "846631915",
            "country_code": "US",
            "telephone_number": "801-489-4541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLUME",
        "first_name": "DENNIS",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "341960-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walker Benson Bludworth
• Blue Mountain Family Dental
• Blue Rock Neurological LLC
• Bluerock Medical LLC
• David Troy Blume, LCSW
• Sarah Bluth Stapp, PA-C
• McKenley Boam, ATC
• Kaycee Bodell
• Jeremy Boden, MS
• Meagan Boden

• General Practice Dentistry in Provo, UT
• Providers in Provo, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.