Organization Active NPI

Barton R. Blumberg, D.M.D., P.a.

  • Oral and Maxillofacial Surgery Clinic/Center
  • The Villages, FL
National Provider Identifier
1346443355
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
License
DN 9030 Issued in FL
Legal business name
BARTON R. BLUMBERG, D.M.D., P.A.
Practice address
1503 Buenos Aires Blvd.
Ste. 190
The Villages, FL 32159
Phone
(352) 430-2100
Fax
(352) 430-1297
NPI assigned
Jun 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Barton R Blumberg, D.M.D.NPI 1548463763
Title
President
Phone
(352) 430-2100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X DN 9030 FL Primary

Addresses

Primary practice location

1503 Buenos Aires Blvd.
Ste. 190
The Villages, FL 32159

Mailing address

1503 Buenos Aires Blvd.
Ste. 190
The Villages, FL 32159
Phone (352) 430-2100

National Provider Directory

National Provider Directory

Locations

1503 Buenos Aires Blvd
Ste 190
The Villages, FL 32159
Phone (352) 430-2100

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": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346443355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 BUENOS AIRES BLVD.",
            "address_2": "STE. 190",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "32159",
            "telephone_number": "352-430-2100",
            "fax_number": "352-430-1297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 BUENOS AIRES BLVD.",
            "address_2": "STE. 190",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "32159",
            "telephone_number": "352-430-2100",
            "fax_number": "352-430-1297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARTON R. BLUMBERG, D.M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLUMBERG",
        "authorized_official_first_name": "BARTON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-430-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN 9030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.