NPIMap

Organization Active NPI

Gary a Blaesing DDS PC

  • Dentist
  • Adrian, MI
National Provider Identifier
1174798243
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
MI11370 Issued in MI
Legal business name
GARY A BLAESING DDS PC
Practice address
1548 W Maumee
Suite a
Adrian, MI 49221
Phone
(517) 265-7288
Fax
(517) 266-8408
NPI assigned
Apr 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Authorized official

Name
Dr. Gary A Blaesing, DDS
Title
President
Phone
(517) 265-7288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X MI11370 MI Primary

Addresses

Primary practice location

1548 W Maumee
Suite a
Adrian, MI 49221

Mailing address

1548 W Maumee
Suite a
Adrian, MI 49221
Phone (517) 265-7288

Other names 1

  • Gary A Blaesing DDS PC Other name

National Provider Directory

National Provider Directory
Tax ID family
Gary a Blaesing DDS PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1174798243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1548 W MAUMEE",
            "address_2": "SUITE A",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "49221",
            "telephone_number": "517-265-7288",
            "fax_number": "517-266-8408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1548 W MAUMEE",
            "address_2": "SUITE A",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "49221",
            "telephone_number": "517-265-7288",
            "fax_number": "517-266-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY A BLAESING DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "BLAESING",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-265-7288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "MI11370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gary A Blaesing DDS PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Adrian, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.