NPIMap

Organization Active NPI

Blanken Podiatry Group

  • Podiatrist
  • Silver Spring, MD
National Provider Identifier
1376698589
Registry record updated May 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
01135 Issued in MD
Legal business name
BLANKEN PODIATRY GROUP
Practice address
10313 Georgia Ave
Suite 201
Silver Spring, MD 20902-5006
Phone
(301) 592-0505
Fax
(301) 592-0503
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2011

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

Authorized official

Name
Dr. Steven Selby Blanken, D.P.M.
Title
President
Phone
(301) 592-0505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 01135 MD Primary

Addresses

Primary practice location

10313 Georgia Ave
Suite 201
Silver Spring, MD 20902-5006

Mailing address

10313 Georgia Ave
Suite 201
Silver Spring, MD 20902-5006
Phone (301) 592-0505

Other identifiers 4

IdentifierTypeStateIssuer
450798300MedicaidMD
025912100MedicaidDC
KDK7BLOtherMDCAREFIRST
88280001OtherMDBCBS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304294400000",
    "number": "1376698589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10313 GEORGIA AVE",
            "address_2": "SUITE 201",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209025006",
            "telephone_number": "301-592-0505",
            "fax_number": "301-592-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10313 GEORGIA AVE",
            "address_2": "SUITE 201",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209025006",
            "telephone_number": "301-592-0505",
            "fax_number": "301-592-0503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLANKEN PODIATRY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2011-05-02",
        "status": "A",
        "authorized_official_last_name": "BLANKEN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "SELBY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-592-0505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "01135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "450798300",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025912100",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "KDK7BL",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "88280001",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; 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.