Neil Lawrence Blitz, D.M.D, M.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

1721 Issued in RI

Practice address

19 Clarkes Village Rd
Jamestown, RI 02835-2803

Phone

(401) 556-0625

Fax

(401) 423-1416

NPI assigned

Aug 10, 2005

Last updated

Feb 26, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267142400000",
    "number": "1346242252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 CLARKES VILLAGE RD",
            "city": "JAMESTOWN",
            "state": "RI",
            "postal_code": "028352803",
            "telephone_number": "401-556-0625",
            "fax_number": "401-423-1416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 CLARKES VILLAGE RD",
            "city": "JAMESTOWN",
            "state": "RI",
            "postal_code": "028352803",
            "telephone_number": "401-556-0625",
            "fax_number": "401-423-1416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLITZ",
        "first_name": "NEIL",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "D.M.D, M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2010-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "DN12878",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "RI",
            "license": "1721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NB00014",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alite Care Corporation
• Christopher Bruce Anderson, PMHNP-BC
• Baker's Pharmacy of Jamestown, Inc
• Joan Theresa Beckett, LMHC
• Diane Carol Bonn-Damle, LMHCA
• Branches of Birth LLC
• Bridges Inc
• Bridges Inc
• Bridges Inc.

• Orthodontics and Dentofacial Orthopedics Dentistry in Jamestown, RI
• Providers in Jamestown, RI by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2010; 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.