Organization Active NPI

Bill Blandford DDS PC

Doing business as Energy Square Dental Group

  • Customized Equipment (DME)
  • Dallas, TX
National Provider Identifier
1295096618
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
11881 Issued in TX
Legal business name
BILL BLANDFORD DDS PC
Doing business as
Energy Square Dental Group
Practice address
4849 Greenville Ave
Suite 173
Dallas, TX 75206-4130
Phone
(214) 369-9966
Fax
(214) 368-0809
NPI assigned
Jun 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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

Authorized official

Name
Dr. Bill Blandford
Title
Owner
Phone
(214) 369-9966

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 11881 TX Primary

Addresses

Primary practice location

4849 Greenville Ave
Suite 173
Dallas, TX 75206-4130

Mailing address

4849 Greenville Ave
Suite 173
Dallas, TX 75206-4130
Phone (214) 369-9966

Other names 1

  • Energy Square Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

4849 Greenville Ave
Ste 173
Dallas, TX 75206
Phone (214) 369-9966

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1338508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359417600000",
    "number": "1295096618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4849 GREENVILLE AVE",
            "address_2": "SUITE 173",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752064130",
            "telephone_number": "214-369-9966",
            "fax_number": "214-368-0809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4849 GREENVILLE AVE",
            "address_2": "SUITE 173",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752064130",
            "telephone_number": "214-369-9966",
            "fax_number": "214-368-0809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BILL BLANDFORD DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-01",
        "last_updated": "2013-01-29",
        "status": "A",
        "authorized_official_last_name": "BLANDFORD",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-369-9966",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "TX",
            "license": "11881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Energy Square Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.