Active NPI
Yainet Blanco, DMD
- General Practice Dentistry
- Bradenton, FL
National Provider Identifier
1265132575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN28590
- Practice address
- 3122 53Rd Ave E
Bradenton, FL 34203-4311 - Phone
- (941) 357-2968
- Fax
- (941) 216-0029
- NPI assigned
- Mar 6, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN28590 | FL | Primary |
Addresses
Primary practice location
3122 53Rd Ave E
Bradenton, FL 34203-4311
Mailing address
4458 Sawyer Rd
Sarasota, FL 34233-1807
Other practice location 1
8446 Lockwood Ridge Rd
Sarasota, FL 34243-2920
Phone (941) 312-2024
Other practice location 2
4280 Bee Ridge Rd
Sarasota, FL 34233-2563
Phone (941) 363-6381
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN28590 | FL | MD | General Practice Dentistry |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710720000000",
"number": "1265132575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4458 SAWYER RD",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342331807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3122 53RD AVE E",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342034311",
"telephone_number": "941-357-2968",
"fax_number": "941-216-0029"
}
],
"practiceLocations": [
{
"address_1": "8446 Lockwood Ridge Rd",
"address_purpose": "LOCATION",
"city": "Sarasota",
"state": "FL",
"postal_code": "342432920",
"country_code": "US",
"telephone_number": "941-312-2024",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4280 Bee Ridge Rd",
"address_purpose": "LOCATION",
"city": "Sarasota",
"state": "FL",
"postal_code": "342332563",
"country_code": "US",
"telephone_number": "941-363-6381",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLANCO",
"first_name": "YAINET",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-06",
"last_updated": "2024-03-18",
"certification_date": "2024-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN28590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.