Farid Blanco, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DN17752 Issued in FL

Practice address

4410 W 16TH Ave
Ste 31
Hialeah, FL 33012-7835

Phone

(305) 747-7711

Fax

(305) 697-9785

NPI assigned

Jan 23, 2009

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Total Dental Care of Florida, LLC

  • Dentist
  • Hialeah, FL
  • NPI 1447656491
  NPD (past) Authorized official
• Blanco Jamis Dental Group, P.a.

  • General Practice Dentistry
  • Miami, FL
  • NPI 1265780704
  NPD (past)

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

{
    "created_epoch": "1232668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574640000000",
    "number": "1154569473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440308",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331440308",
            "telephone_number": "786-393-6875",
            "fax_number": "305-697-9785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 W 16TH AVE",
            "address_2": "STE 31",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127835",
            "telephone_number": "305-747-7711",
            "fax_number": "305-697-9785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCO",
        "first_name": "FARID",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-23",
        "last_updated": "2019-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN17752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Yuliet Blanco, ARNP
• Elia L Blanco
• Emelin Blanco
• Emilio Blanco, MD
• Fany Blanco
• Kemel Jalil Blanco, D.M.D.
• Lazaro Jasiel Blanco
• Maria Eugenia Blanco
• Maylin Blanco
• Mercy Blanco, MD

• Dentist in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.