Organization Active NPI

White & Blansett Periodontics & Dental Implants

  • Periodontics
  • Rogers, AR
National Provider Identifier
1154793982
Registry record updated Oct 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
3958 Issued in AR
Legal business name
WHITE & BLANSETT PERIODONTICS & DENTAL IMPLANTS
Practice address
201 N 34TH St
Rogers, AR 72756-0352
Phone
(479) 631-6074
Fax
(479) 936-8660
NPI assigned
Oct 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2015

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

Authorized official

Name
Dr. Jonathan Andrew Blansett, DDS, PLLC
Title
Periodontist
Phone
(479) 631-6074

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 3958 AR Primary

Addresses

Primary practice location

201 N 34TH St
Rogers, AR 72756-0352

Mailing address

201 N 34TH St
Rogers, AR 72756-0352
Phone (479) 631-6074

Other identifiers 1

IdentifierTypeStateIssuer
1376821181OtherARNPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445299200000",
    "number": "1154793982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N 34TH ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727560352",
            "telephone_number": "479-631-6074",
            "fax_number": "479-936-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N 34TH ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727560352",
            "telephone_number": "479-631-6074",
            "fax_number": "479-936-8660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE & BLANSETT PERIODONTICS & DENTAL IMPLANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-20",
        "last_updated": "2015-10-20",
        "status": "A",
        "authorized_official_last_name": "BLANSETT",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PERIODONTIST",
        "authorized_official_telephone_number": "479-631-6074",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, PLLC"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "AR",
            "license": "3958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1376821181",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; 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.