Individual provider Active NPI

Anna Blanchard, D.D.S.

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1447392402
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Practice address
333 S Ashland Ave
Chicago, IL 60607-2703
Phone
(312) 738-6170
NPI assigned
Feb 13, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X IL Primary

Addresses

Primary practice location

333 S Ashland Ave
Chicago, IL 60607-2703

Mailing address

4112 Cove LN
# E
Glenview, IL 60025-3576
Phone (773) 931-3915

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20230808000414 IL Practitioner - Dentist 5799146783 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019026032ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Aria Dental Care PC CurrentSince Jun 27, 2023 Accepting new patients

Locations

901 S 2nd St
Ste 201
Springfield, IL 62704
Phone (312) 560-2917

8500 W 110th St
Ste 450
Overland Park, KS 66210
Phone (888) 674-1211

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447392402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4112 COVE LN",
            "address_2": "# E",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600253576",
            "telephone_number": "773-931-3915",
            "fax_number": "847-297-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072703",
            "telephone_number": "312-738-6170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCHARD",
        "first_name": "ANNA",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.