Stanley Paul Blair, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN011033 Issued in FL

Practice address

3003 Lee Blvd
Lehigh Acres, FL 33971

Phone

(239) 369-0019

Fax

(239) 369-1015

NPI assigned

Mar 22, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cruzin' Dental PA

  • General Practice Dentistry
  • Lehigh Acres, FL
  • NPI 1174268940
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194841767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 LEE BLVD",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "33971",
            "telephone_number": "239-369-0019",
            "fax_number": "239-369-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 LEE BLVD",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "33971",
            "telephone_number": "239-369-0019",
            "fax_number": "239-369-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "STANLEY",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN011033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariel Bibilonia
• Lisbet Biltres Rodriguez
• Shanida Juanita Biroo
• Lydia C.W. Blackman-Johnson
• Justin Lee Blackwell, CAP, ICADC, CAC-AD
• Ernesto Blanchard
• Alyssa Amanda Blanco Batista
• Zulema Blanco Mantilla
• Maria D Blanco, DDS
• Latongella Terell Bland, RN

• Dentist in Lehigh Acres, FL
• Providers in Lehigh Acres, FL by specialty
• Dentist in Florida

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.