NPIMap

Organization Active NPI

Ralph V. Blanchard, Jr DDS PC

  • Dentist
  • North Adams, MA
National Provider Identifier
1144386970
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
13460 Issued in MA
Legal business name
RALPH V. BLANCHARD, JR DDS PC
Practice address
176 Ashland St
North Adams, MA 01247-4513
Phone
(413) 663-5153
Fax
(413) 663-3459
NPI assigned
Dec 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ralph V Blanchard Jr., DDSNPI 1750324331
Title
President
Phone
(413) 663-5153

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 13460 MA Primary

Addresses

Primary practice location

176 Ashland St
North Adams, MA 01247-4513

Mailing address

176 Ashland St
North Adams, MA 01247-4513
Phone (413) 663-5153

Other identifiers 2

IdentifierTypeStateIssuer
0249629MedicaidMA
X05494OtherMABCBS PROVIDER NUMBER

National Provider Directory

National Provider Directory

Locations

176 Ashland St
North Adams, MA 01247
Phone (413) 663-3378

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144386970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 ASHLAND ST",
            "city": "NORTH ADAMS",
            "state": "MA",
            "postal_code": "012474513",
            "telephone_number": "413-663-5153",
            "fax_number": "413-663-3459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 ASHLAND ST",
            "city": "NORTH ADAMS",
            "state": "MA",
            "postal_code": "012474513",
            "telephone_number": "413-663-5153",
            "fax_number": "413-663-3459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALPH V. BLANCHARD, JR DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLANCHARD",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-663-5153",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "13460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0249629",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "X05494",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Adams, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.