Dr Benjamin E Blakley DDS

Primary specialty

DentistTaxonomy code 122300000X

License

7840 Issued in IN

Legal business name

DR BENJAMIN E BLAKLEY DDS

Practice address

6437 Rucker Rd
6437 Rucker Rd
Indianapolis, IN 46220

Phone

(317) 257-3799

NPI assigned

Jan 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin Earl Blakely, DDS

Title

General Dentist Owner

Phone

(317) 257-3799

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Benjamin E. Blakley, D.D.S

  • Dentist
  • Indianapolis, IN
  • NPI 1891944716
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1275690166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6437 RUCKER RD",
            "address_2": "6437 RUCKER RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46220",
            "telephone_number": "317-257-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6437 RUCKER RD",
            "address_2": "6437 RUCKER RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46220",
            "telephone_number": "317-257-3799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR BENJAMIN E BLAKLEY DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "BLAKELY",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "GENERAL DENTIST OWNER",
        "authorized_official_telephone_number": "317-257-3799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IN",
            "license": "7840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100073160A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.