Active NPI
David M. Blende, DDS
- Dentist
- San Francisco, CA
National Provider Identifier
1265657100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 21851
- Practice address
- 390 Laurel St Ste 310
San Francisco, CA 94118-1953 - Phone
- (415) 563-4261
- Fax
- (415) 563-4269
- NPI assigned
- Apr 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 21851 | CA | Primary |
Addresses
Primary practice location
390 Laurel St Ste 310
San Francisco, CA 94118-1953
Mailing address
390 Laurel St Ste 310
San Francisco, CA 94118-1953
Phone (415) 563-4261
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blende Dental Corporation | Current | Accepting new patients | |
| Northern California Anesthesia | Past | Accepting new patients |
Locations
390 Laurel St
Ste 310
San Francisco, CA 94118
Phone (415) 563-4261
Interoperability endpoints
- dblende48041@hisp.ehr.sutterhealth.org
Organizations & group practices 2
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.
-
- General Practice Dentistry
- San Francisco, CA
- NPI 1053199000
-
- Anesthesiology Physician
- San Francisco, CA
- NPI 1871541649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265657100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "390 LAUREL ST STE 310",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941181953",
"telephone_number": "415-563-4261",
"fax_number": "415-563-4269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "390 LAUREL ST STE 310",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941181953",
"telephone_number": "415-563-4261",
"fax_number": "415-563-4269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLENDE",
"first_name": "DAVID",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "21851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.