Andrew Blake Vanblarcom, D.D.S.

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

60277 Issued in KS

Practice address

5000 W 95TH St Ste 290
Prairie Village, KS 66207-3300

Phone

(913) 649-4946

Fax

(913) 649-2460

NPI assigned

Dec 29, 2006

Sex

Male

Sole proprietor

Yes

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)

Enrolled

State licenses

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154487593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 W 95TH ST STE 290",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662073300",
            "telephone_number": "913-649-4946",
            "fax_number": "913-649-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 W 95TH ST STE 290",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662073300",
            "telephone_number": "913-649-4946",
            "fax_number": "913-649-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANBLARCOM",
        "first_name": "ANDREW",
        "middle_name": "BLAKE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "KS",
            "license": "60277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Ann Trudrung
• Catherine Michelle Tweedie
• Diego H Ugaz
• Steven R Unterman, M.D.
• Lisa R Utt, PMHNP
• Clifford Winters Vanblarcom, DDS
• Vellore Kirubakaran M D P a
• Erin Vera
• Verge KC LLC
• Susan Verstraete

• Prosthodontics in Prairie Village, KS
• Providers in Prairie Village, KS by specialty
• Prosthodontics in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.