Joseph Matthew Blondin, D.M.D.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

057231-1 Issued in NY

Practice address

46 Fox St Ste 1
Poughkeepsie, NY 12601-4726

Phone

(845) 473-3636

NPI assigned

Jun 29, 2011

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

Medicare fee-for-service enrollment

Enrolled in NY

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

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1417244377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 FOX ST STE 1",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126014726",
            "telephone_number": "860-309-7672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 FOX ST STE 1",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126014726",
            "telephone_number": "845-473-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLONDIN",
        "first_name": "JOSEPH",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-29",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "057231-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikia Blauvelt
• Erik Steven Bleau
• Mary Bleau, LPN
• Christopher M Bledsoe
• Christopher Joseph Blisko, D.C.
• Christine Elizabeth Blossy, PNP
• Blu-Hazel Therapy LLC
• Kizzy Blue, LPN
• Aaron Blum, MD
• Erika Bobinger

• Endodontics in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• Endodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; 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.