Michael Anthony Blasek, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS-024133-L Issued in PA

Practice address

520 Limekiln Pike
Maple Glen, PA 19002-2901

Phone

(215) 643-0666

NPI assigned

Feb 22, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306971072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 LIMEKILN PIKE",
            "city": "MAPLE GLEN",
            "state": "PA",
            "postal_code": "190022901",
            "telephone_number": "215-643-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 LIMEKILN PIKE",
            "city": "MAPLE GLEN",
            "state": "PA",
            "postal_code": "190022901",
            "telephone_number": "215-643-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLASEK",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS-024133-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "DS-024133-L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric Michael Abramowitz, RPH
• David T. Bantley, D.D.S.
• Susan Lei Bires, RD, LDN
• Shannon Mary Bolger, ATC
• Charles Bosnick
• Joseph Carchedi, MD
• Shiri Alisa Diamond, MA, CCC-SLP
• Gregory Diehl, RPH

• General Practice Dentistry in Maple Glen, PA
• Providers in Maple Glen, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.