Carol M. Blossfeld, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CAROL M. BLOSSFELD, D.D.S.

Practice address

3201 E Memorial Rd
Suite a
Edmond, OK 73013-7104

Phone

(405) 475-9221

Fax

(405) 475-9224

NPI assigned

Apr 22, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Carol M BlossfeldNPI 1164557484

Title

Dentist/Owner

Phone

(405) 475-9221

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Carol M Blossfeld, D.D.S.

  • General Practice Dentistry
  • Edmond, OK
  • NPI 1164557484

  General Practice

  NPD (past) Authorized official

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1306010269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 E MEMORIAL RD",
            "address_2": "SUITE A",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730137104",
            "telephone_number": "405-475-9221",
            "fax_number": "405-475-9224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 E MEMORIAL RD",
            "address_2": "SUITE A",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730137104",
            "telephone_number": "405-475-9221",
            "fax_number": "405-475-9224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL M. BLOSSFELD, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "BLOSSFELD",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "405-475-9221",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avery Dru Carls
• Kelby D Carlson, RBT
• Carma Medical, PLLC
• Thaddeus Alan Carnine, MD
• Carol a Mathison, LPC & Associates
• Aniyah Denise Carolina
• Chace Allen Carpenter
• Emily Lorraine Carr
• Melvin Carr Jr.
• Elizabeth Stanfield Carradini, DNP, APRN, FNP-C

• All providers in Edmond, OK
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.