Organization Active NPI

Blum Surgical Associates, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Miami Beach, FL
National Provider Identifier
1154569945
Registry record updated Aug 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
BLUM SURGICAL ASSOCIATES, LLC
Practice address
4308 Alton Rd Ste 850
Miami Beach, FL 33140-4558
Phone
(305) 538-4556
Fax
(305) 538-2019
NPI assigned
Feb 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2010

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

Authorized official

Name
Dr. Jeffrey D. Blum, D.D.S.
Title
President
Phone
(305) 538-4556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X FL Primary

Addresses

Primary practice location

4308 Alton Rd Ste 850
Miami Beach, FL 33140-4558

Mailing address

4308 Alton Rd Ste 850
Miami Beach, FL 33140-4558
Phone (305) 538-4556

National Provider Directory

National Provider Directory

Locations

4308 Alton Rd
Ste 850
Miami Beach, FL 33140
Phone (305) 538-3446

NPI Registry JSON

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

{
    "created_epoch": "1233532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281052800000",
    "number": "1154569945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4308 ALTON RD STE 850",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331404558",
            "telephone_number": "305-538-4556",
            "fax_number": "305-538-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4308 ALTON RD STE 850",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331404558",
            "telephone_number": "305-538-4556",
            "fax_number": "305-538-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUM SURGICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-02",
        "last_updated": "2010-08-06",
        "status": "A",
        "authorized_official_last_name": "BLUM",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-538-4556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2010; 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.