Organization Active NPI

Blossom Dental Inc

  • Dental Clinic/Center
  • Jackson Heights, NY
National Provider Identifier
1497653604
Registry record updated Oct 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BLOSSOM DENTAL INC
Practice address
8420 Roosevelt Ave FL 2
Jackson Heights, NY 11372-7341
Phone
(718) 744-6045
NPI assigned
Oct 28, 2026
Last updated
Oct 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2026

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

Authorized official

Name
Arelys SantanaNPI 1679547376
Title
Owner/Dentist
Phone
(718) 458-1929

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

8420 Roosevelt Ave FL 2
Jackson Heights, NY 11372-7341

Mailing address

8420 Roosevelt Ave FL 2
Jackson Heights, NY 11372-7341
Phone (718) 744-6045

National Provider Directory

National Provider Directory

Locations

8420 Roosevelt Ave
Fl 2
Jackson Heights, NY 11372

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": "1793145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793145600000",
    "number": "1497653604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8420 ROOSEVELT AVE FL 2",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727341",
            "telephone_number": "718-744-6045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8420 ROOSEVELT AVE FL 2",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727341",
            "telephone_number": "718-744-6045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-28",
        "last_updated": "2026-10-28",
        "certification_date": "2026-10-28",
        "status": "A",
        "authorized_official_last_name": "SANTANA",
        "authorized_official_first_name": "ARELYS",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "718-458-1929"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2026; 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.