Individual provider Active NPI

Richard William Blanchar, M.D.

  • Family Medicine Physician
  • Lauderdale by the Sea, FL
National Provider Identifier
1164430385
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
42534 Issued in FL
Practice address
4401 W Tradewinds Ave
The Third Floor
Lauderdale by the Sea, FL 33308-4463
Phone
(954) 776-6992
Fax
(954) 776-6969
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 42534 FL Primary

Addresses

Primary practice location

4401 W Tradewinds Ave
The Third Floor
Lauderdale by the Sea, FL 33308-4463

Mailing address

4401 W Tradewinds Ave
The Third Floor
Lauderdale by the Sea, FL 33308-4463
Phone (954) 776-6992

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
42534FLMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215993600000",
    "number": "1164430385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 W TRADEWINDS AVE",
            "address_2": "THE THIRD FLOOR",
            "city": "LAUDERDALE BY THE SEA",
            "state": "FL",
            "postal_code": "333084463",
            "telephone_number": "954-776-6992",
            "fax_number": "954-776-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 W TRADEWINDS AVE",
            "address_2": "THE THIRD FLOOR",
            "city": "LAUDERDALE BY THE SEA",
            "state": "FL",
            "postal_code": "333084463",
            "telephone_number": "954-776-6992",
            "fax_number": "954-776-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCHAR",
        "first_name": "RICHARD",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2008-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "42534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale by the Sea, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.