Daniel Mark Blanco DMD Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DANIEL MARK BLANCO DMD INC

Practice address

2112 Deer Haven Dr
Chino Hills, CA 91709-4853

Phone

(909) 979-7756

NPI assigned

Aug 6, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Blanco, DMDNPI 1124510482

Title

Dentist

Phone

(909) 979-7756

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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

• Daniel Mark Blanco, DMD

  • General Practice Dentistry
  • San Diego, CA
  • NPI 1124510482
  NPD Authorized official
• Mark Avetoom, D.D.S.

  • General Practice Dentistry
  • Tustin, CA
  • NPI 1629137708
  NPD (past)

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1295565042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 DEER HAVEN DR",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917094853",
            "telephone_number": "909-979-7756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 DEER HAVEN DR",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917094853",
            "telephone_number": "909-979-7756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL MARK BLANCO DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "BLANCO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "909-979-7756",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "102496",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hongbo Dai
• Yaqi Dai
• Dalia Dawoud MD Inc
• Dallis Ngo DO Inc
• Daniel I. Lee , Inc.
• Adrian Lynn Daniel
• Danny Cho,D.D.S. Inc.
• Nguyen V Dao, PHARMD
• Bayley Christine Dark, LCSW
• David S. Han, DDS, Inc.

• General Practice Dentistry in Chino Hills, CA
• Providers in Chino Hills, CA by specialty
• General Practice Dentistry in California

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

Verify at the official NPI Registry.