Tiffani Blessie, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D011420 Issued in AZ

Practice address

15215 S 48TH St Ste 190
Phoenix, AZ 85044-9140

Phone

(480) 893-2474

NPI assigned

Jun 10, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Jeffery a Kohler, DDS, PC

  • Dentist
  • Phoenix, AZ
  • NPI 1033324553
  NPD (past)

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1225767510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2177 S MCQUEEN RD APT 3092",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852861852",
            "telephone_number": "815-579-4318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15215 S 48TH ST STE 190",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850449140",
            "telephone_number": "480-893-2474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "328 E Florence St",
            "address_purpose": "LOCATION",
            "city": "Oglesby",
            "state": "IL",
            "postal_code": "613481237",
            "country_code": "US",
            "telephone_number": "815-579-4318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLESSIE",
        "first_name": "TIFFANI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-10",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D011420",
            "primary": true
        },
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "AZ",
            "license": "D011420",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cody Blentlinger
• Blesdani Care LLC
• Blessed Behavioral Health LLC
• Blessed by 2ND Chance LLC
• Blessed L Home Care LLC
• Blessinglaz Health and Wellness LLC
• Ian Andru Blessington
• Panagiotis Bletsis, MD
• Kathryn Lara Blevins, MD
• Patricia A Bley, RN

• General Practice Dentistry in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.