Alma Carolina Blanco Reyes, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

56106 Issued in CA

Practice address

316 S Auburn St Ste 5
Grass Valley, CA 95945-7298

Phone

(530) 274-0920

Fax

(530) 274-8935

NPI assigned

Sep 24, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Blanco Dental, Inc

  • Dental Clinic/Center
  • Grass Valley, CA
  • NPI 1215502497
  NPD Authorized official

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1356537229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 S AUBURN ST STE 5",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959457298",
            "telephone_number": "530-274-0920",
            "fax_number": "530-274-8935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 S AUBURN ST STE 5",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959457298",
            "telephone_number": "530-274-0920",
            "fax_number": "530-274-8935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCO REYES",
        "first_name": "ALMA",
        "middle_name": "CAROLINA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-24",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "56106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Le'Nia Noel Blackburn
• William Joseph Blaha, M.D.
• Ariel Hanan Blake
• Rachel Blake
• Blanco Dental, Inc
• Sarah Janell Bland
• Erin R Blasini
• Michael Bledsoe
• Nancy A Bleile, MD
• Rachelle Bloksberg, LMFT

• Dentist in Grass Valley, CA
• Providers in Grass Valley, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.