Blanco Dental, Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BLANCO DENTAL, INC

Doing business as

Blanco Dental, INC

Practice address

316 S Auburn St Ste 5
Grass Valley, CA 95945-7298

Phone

(530) 274-0920

Fax

(530) 274-8935

NPI assigned

May 20, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Alma Carolina Blanco Reyes, DDSNPI 1356537229

Title

Dentist

Phone

(530) 274-0920

Specialties & licenses 1

Addresses

Other names 1

• Blanco Dental, INC Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alma Carolina Blanco Reyes, DDS

  • Dentist
  • Grass Valley, CA
  • NPI 1356537229
  NPD Authorized official
• Ray G Enneking, D.D.S

  • General Practice Dentistry
  • Grass Valley, CA
  • NPI 1073664314
  NPD (past)

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621468800000",
    "number": "1215502497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 S AUBURN ST STE 5",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959457298",
            "telephone_number": "530-274-0920",
            "fax_number": "530-274-8935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 S AUBURN ST STE 5",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959457298",
            "telephone_number": "530-274-0920",
            "fax_number": "530-274-8935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLANCO DENTAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A",
        "authorized_official_last_name": "BLANCO REYES",
        "authorized_official_first_name": "ALMA",
        "authorized_official_middle_name": "CAROLINA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "530-274-0920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blanco Dental, INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephen Leon Black, SUDCC-III
• Le'Nia Noel Blackburn
• William Joseph Blaha, M.D.
• Ariel Hanan Blake
• Rachel Blake
• Alma Carolina Blanco Reyes, DDS
• Sarah Janell Bland
• Erin R Blasini
• Michael Bledsoe
• Nancy A Bleile, MD

• Dental Clinic/Center in Grass Valley, CA
• Providers in Grass Valley, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.