Kristin Nicole Blair, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN32191 Issued in FL

Practice address

7430 Immokalee Rd Ste 102
Naples, FL 34119-1483

Phone

(239) 316-3763

NPI assigned

Jun 30, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Naples Modern Dentistry, PA

  • Dentist
  • Naples, FL
  • NPI 1215495577
  NPD (past)

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

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1144907254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7308 MARLBROOK DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282124770",
            "telephone_number": "980-428-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7430 IMMOKALEE RD STE 102",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341191483",
            "telephone_number": "239-316-3763"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3024 Martin Luther King Jr Dr SW",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303111515",
            "country_code": "US",
            "telephone_number": "404-696-3163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "KRISTIN",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-30",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN123130",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN32191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrica Bjazevic
• Karina M Bjazevic
• Lauren Marie Blackburn, PTA
• Monika Blackmon
• Brian Paul Blaine, PHARMACIST
• Jeanne Marie Blake
• Stacey Kathleen Blake, APRN, FNP-C
• Victoria Blake
• Bryon Paul Blanchard, MD
• Nathali Blanco Cabo, RBT-25-415301

• General Practice Dentistry in Naples, FL
• Providers in Naples, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; 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.