NPIMap

Organization Active NPI

Kathleen D. Blanc DDS Inc

Doing business as Buckeye Denture Clinic

  • General Practice Dentistry
  • Brooklyn, OH
National Provider Identifier
1497135651
Registry record updated Jul 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30020650 Issued in OH
Legal business name
KATHLEEN D. BLANC DDS INC
Doing business as
Buckeye Denture Clinic
Practice address
6750 Biddulph Rd Ste 105
Brooklyn, OH 44144-3365
Phone
(216) 485-1211
NPI assigned
Jun 3, 2015
Last updated
Jul 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2020

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

Authorized official

Name
Kathleen D Blanc, D.D.SNPI 1689723991
Title
Owner
Phone
(216) 485-1211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30020650 OH Primary

Addresses

Primary practice location

6750 Biddulph Rd Ste 105
Brooklyn, OH 44144-3365

Mailing address

6750 Biddulph Rd Ste 105
Brooklyn, OH 44144-3365
Phone (216) 485-1211

Other names 1

  • Buckeye Denture Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

6750 Biddulph Rd
Ste 105
Cleveland, OH 44144
Phone (216) 485-1211

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594857600000",
    "number": "1497135651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6750 BIDDULPH RD STE 105",
            "city": "BROOKLYN",
            "state": "OH",
            "postal_code": "441443365",
            "telephone_number": "216-485-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 BIDDULPH RD STE 105",
            "city": "BROOKLYN",
            "state": "OH",
            "postal_code": "441443365",
            "telephone_number": "216-485-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN D. BLANC DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-03",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A",
        "authorized_official_last_name": "BLANC",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-485-1211",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30020650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buckeye Denture Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.