Daniel Mark Blanco, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

102496 Issued in CA

Practice address

9912 Carmel Mountain Rd Ste B
San Diego, CA 92129-2808

Phone

(858) 538-9182

NPI assigned

Jun 3, 2018

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

Practice roles

Locations

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.

• Daniel Mark Blanco DMD Inc

  • General Practice Dentistry
  • Chino Hills, CA
  • NPI 1295565042
  NPD Authorized official
• Hoang, Nguyen, & Lu Dental Corp

  • Oral and Maxillofacial Surgery (Dentist)
  • San Diego, CA
  • NPI 1548828221
  NPD
• John C. Nosti Dental Corporation

  • General Practice Dentistry
  • San Marcos, CA
  • NPI 1366705030
  NPD (past)
• Penasquitos Dental

  • General Practice Dentistry
  • San Diego, CA
  • NPI 1124425830
  NPD (past)

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

{
    "created_epoch": "1527984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1124510482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 LONGFORD ST APT 5",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921172159",
            "telephone_number": "909-979-7756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9912 CARMEL MOUNTAIN RD STE B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292808",
            "telephone_number": "858-538-9182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCO",
        "first_name": "DANIEL",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-03",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "102496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Blanchard, P.T.
• Nicole Blanchflower, MA, ATC
• Briseyda Blanco Aguilar
• Brian Howard Anthony Blanco, MSW
• Cecilia Blanco
• Gabrielle Blanco
• Lacliy Blanco
• Rafael Blanco, DC
• Sierra Blanco
• Cody A Bland

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, 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 Aug 30, 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.