Active NPI
White & Blansett Periodontics & Dental Implants
- Periodontics
- Rogers, AR
National Provider Identifier
1154793982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 3958
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376821181 | Other | AR | NPI |
National Provider Directory
National Provider DirectoryNPI 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.