Individual provider Active NPI

David H Bloink, DDS

  • General Practice Dentistry
  • Livonia, MI
National Provider Identifier
1174601553
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901013915 Issued in MI
Practice address
34020 Seven Mile Rd
Suite 121
Livonia, MI 48152-3093
Phone
(248) 471-3781
Fax
(248) 473-0211
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901013915 MI Primary

Addresses

Primary practice location

34020 Seven Mile Rd
Suite 121
Livonia, MI 48152-3093

Mailing address

34020 Seven Mile Rd
Suite 121
Livonia, MI 48152-3093
Phone (248) 471-3781

Other identifiers 1

IdentifierTypeStateIssuer
58262819NOtherMIBCBS

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

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174601553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34020 SEVEN MILE RD",
            "address_2": "SUITE 121",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523093",
            "telephone_number": "248-471-3781",
            "fax_number": "248-473-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34020 SEVEN MILE RD",
            "address_2": "SUITE 121",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523093",
            "telephone_number": "248-471-3781",
            "fax_number": "248-473-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOINK",
        "first_name": "DAVID",
        "middle_name": "H",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901013915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "58262819N",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.