Active NPI
Gary a Blaesing DDS PC
- General Practice Dentistry
- Adrian, MI
National Provider Identifier
1457658163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 11270
- Legal business name
- GARY A BLAESING DDS PC
- Practice address
- 1548 West Maumee
Adrian, MI 49221 - Phone
- (517) 265-7288
- NPI assigned
- Feb 15, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Gary Allen Blaesing, DDS
- Title
- President
- Phone
- (517) 265-7288
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 11270 | MI | Primary |
Addresses
Primary practice location
1548 West Maumee
Adrian, MI 49221
Mailing address
1548 West Maumee
Adrian, MI 49221
Phone (517) 265-7288
National Provider Directory
National Provider Directory- Tax ID family
- Gary a Blaesing DDS PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dentist
- Adrian, MI
- NPI 1174798243
Locations
1548 W Maumee St
Adrian, MI 49221
Phone (517) 263-7577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297728000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1297728000000",
"number": "1457658163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1548 WEST MAUMEE",
"city": "ADRIAN",
"state": "MI",
"postal_code": "49221",
"telephone_number": "517-265-7288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1548 WEST MAUMEE",
"city": "ADRIAN",
"state": "MI",
"postal_code": "49221",
"telephone_number": "517-265-7288"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GARY A BLAESING DDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-15",
"last_updated": "2011-02-15",
"status": "A",
"authorized_official_last_name": "BLAESING",
"authorized_official_first_name": "GARY",
"authorized_official_middle_name": "ALLEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "517-265-7288",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "11270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Adrian, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.