Neil H Blavin, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

014053 Issued in MI

Practice address

47210 W 10 Mile Rd
Novi, MI 48374-2932

Phone

(248) 347-0030

NPI assigned

Sep 12, 2006

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

Medicare fee-for-service enrollment

Enrolled in MI

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

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.

• Briar Pointe Dentistry

  • Dentist
  • Novi, MI
  • NPI 1225654577
  NPD (past)

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413504000000",
    "number": "1417051087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47210 W 10 MILE RD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483742932",
            "telephone_number": "248-347-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47210 W 10 MILE RD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483742932",
            "telephone_number": "248-347-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAVIN",
        "first_name": "NEIL",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2014-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "014053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanelle Blair
• Lindsey Blakeley
• Taylor Blakeway
• Nikki Blanchard
• Jarely Blanco
• Rivkah Yehudis Blavin, DDS
• India Blaylock
• Brooke Danielle Blazek, A.UD
• Jessica Kristine Bleske, OTR
• Carrie Blohm

• Dentist in Novi, MI
• Providers in Novi, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; 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.