Daniel Blankenburg, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN.00204034 Issued in CO

Practice address

200 W County Line Rd Ste 270
Highlands Ranch, CO 80129-2342

Phone

(303) 791-2570

NPI assigned

Jul 15, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CO

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stanbrick Dental, PC

  • Dental Clinic/Center
  • Lone Tree, CO
  • NPI 1780208413
  NPD (past)

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1427600980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5403 W 96TH AVE APT 1220",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800205714",
            "telephone_number": "859-468-5179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W COUNTY LINE RD STE 270",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292342",
            "telephone_number": "303-791-2570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 S Cherry St Ste 700",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CO",
            "postal_code": "802461234",
            "country_code": "US",
            "telephone_number": "303-322-8600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLANKENBURG",
        "first_name": "DANIEL",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-15",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN.00204034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "dan.blankenburg@meyerdentist.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "200 W County Line Rd Ste 270",
            "city": "Highlands Ranch",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801292342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kathryn Bixler
• BKD Highlands Ranch, LLC (Brookdale Highlands Ranch)
• Lisa Marie Black, PTA
• Jerry Joe Blanchard
• Lauren Blanchard, M.A., LPC
• Mary Frances Blatter, OTD
• Bliss Dental Health, LLC
• Kimberly Bloom
• Hanna P Bodkin, PA-C
• Jenna Boehm, DPT

• General Practice Dentistry in Highlands Ranch, CO
• Providers in Highlands Ranch, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; 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.