NPIMap

Organization Active NPI

Eduardo C Blanco DDS PA

  • Dentist
  • Pompano Beach, FL
National Provider Identifier
1174605109
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN0013306 Issued in FL
Legal business name
EDUARDO C BLANCO DDS PA
Practice address
50 NE 26TH Ave Suite 403
Pompano Beach, FL 33062-5246
Phone
(954) 946-6626
Fax
(954) 946-6632
NPI assigned
Oct 19, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Eduardo Caridad Blanco, DDSNPI 1629150651
Title
Dentist Owner
Phone
(954) 946-6626

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN0013306 FL Primary

Addresses

Primary practice location

50 NE 26TH Ave Suite 403
Pompano Beach, FL 33062-5246

Mailing address

50 NE 26TH Ave Suite 403
Pompano Beach, FL 33062-5246
Phone (954) 946-6626

National Provider Directory

National Provider Directory

Locations

50 NE 26th Ave
Ste 403
Pompano Beach, FL 33062
Phone (954) 946-6626

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174605109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 NE 26TH AVE SUITE 403",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330625246",
            "telephone_number": "954-946-6626",
            "fax_number": "954-946-6632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 NE 26TH AVE SUITE 403",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330625246",
            "telephone_number": "954-946-6626",
            "fax_number": "954-946-6632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDUARDO C BLANCO DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLANCO",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_middle_name": "CARIDAD",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "954-946-6626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN0013306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.