Individual provider Active NPI

Blair Bittner Toohey, DDS

  • Dentist
  • Irvine, CA
National Provider Identifier
1215131222
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
45758 Issued in CA
Practice address
3500 Barranca Pkwy Ste 270
Irvine, CA 92606-8233
Phone
(949) 942-2002
NPI assigned
Jun 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 45758 CA Primary

Addresses

Primary practice location

3500 Barranca Pkwy Ste 270
Irvine, CA 92606-8233

Mailing address

3500 Barranca Pkwy Ste 270
Irvine, CA 92606-8233
Phone (949) 942-2002

Other names 1

  • Blair Susan Bittner Professional name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
45758CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1215131222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 BARRANCA PKWY STE 270",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926068233",
            "telephone_number": "949-942-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 BARRANCA PKWY STE 270",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926068233",
            "telephone_number": "949-942-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOOHEY",
        "first_name": "BLAIR",
        "middle_name": "BITTNER",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2024-03-12",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "45758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BLAIR",
            "last_name": "BITTNER",
            "middle_name": "SUSAN",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.