Active NPI
Alexander Reinhard Philip Blaseio, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Brentwood, TN
National Provider Identifier
1285070896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 10560
- Practice address
- 317 Seven Springs Way Ste 103
Brentwood, TN 37027-4576 - Phone
- (615) 675-0050
- NPI assigned
- May 22, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 63494 | CA | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 10560 | TN | Primary |
Addresses
Primary practice location
317 Seven Springs Way Ste 103
Brentwood, TN 37027-4576
Mailing address
317 Seven Springs Way Ste 103
Brentwood, TN 37027-4576
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63494 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| 10560 | TN | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592956800000",
"number": "1285070896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 SEVEN SPRINGS WAY STE 103",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370274576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 SEVEN SPRINGS WAY STE 103",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370274576",
"telephone_number": "615-675-0050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLASEIO",
"first_name": "ALEXANDER",
"middle_name": "REINHARD PHILIP",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-22",
"last_updated": "2020-06-24",
"certification_date": "2020-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "63494",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "TN",
"license": "10560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brentwood, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.