Individual provider Active NPI

John Thomas Bianchin, DDS

  • Dentist
  • Palm Desert, CA
National Provider Identifier
1225230022
Registry record updated Oct 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
53346 Issued in CA
Practice address
73640 El Paseo
Suite 9
Palm Desert, CA 92260-4340
Phone
(760) 776-4525
Fax
(760) 776-4575
NPI assigned
Jun 4, 2007
Last updated
Oct 8, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 53346 CA Primary

Addresses

Primary practice location

73640 El Paseo
Suite 9
Palm Desert, CA 92260-4340

Mailing address

73640 El Paseo
Suite 9
Palm Desert, CA 92260-4340
Phone (760) 776-4525

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
53346CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381190400000",
    "number": "1225230022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73640 EL PASEO",
            "address_2": "SUITE 9",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922604340",
            "telephone_number": "760-776-4525",
            "fax_number": "760-776-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73640 EL PASEO",
            "address_2": "SUITE 9",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922604340",
            "telephone_number": "760-776-4525",
            "fax_number": "760-776-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIANCHIN",
        "first_name": "JOHN",
        "middle_name": "THOMAS",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2013-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "53346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; 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.