Active NPI
Remy H Blanchaert Jr DDS MD PA
- Oral and Maxillofacial Surgery (Dentist)
- Wichita, KS
National Provider Identifier
1497912356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 04-31176
- Legal business name
- REMY H BLANCHAERT JR DDS MD PA
- Practice address
- 1919 N Webb Rd
Wichita, KS 67206-3405 - Phone
- (316) 634-1414
- Fax
- (316) 634-2907
- NPI assigned
- May 19, 2008
- 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
- Remy H Blanchaert Jr., DDS, MD
- Title
- Owner
- Phone
- (316) 634-1414
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 04-31176 | KS | Primary |
Addresses
Primary practice location
1919 N Webb Rd
Wichita, KS 67206-3405
Mailing address
1919 N Webb Rd
Wichita, KS 67206-3405
Phone (316) 634-1414
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100420750C | Medicaid | KS | |
| 107125 | Other | KS | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Oral and Maxillofacial Surgery (Dentist)
- Wichita, KS
- NPI 1578587036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211155200000",
"number": "1497912356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1919 N WEBB RD",
"city": "WICHITA",
"state": "KS",
"postal_code": "672063405",
"telephone_number": "316-634-1414",
"fax_number": "316-634-2907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 N WEBB RD",
"city": "WICHITA",
"state": "KS",
"postal_code": "672063405",
"telephone_number": "316-634-1414",
"fax_number": "316-634-2907"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REMY H BLANCHAERT JR DDS MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-19",
"last_updated": "2008-05-19",
"status": "A",
"authorized_official_last_name": "BLANCHAERT",
"authorized_official_first_name": "REMY",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "316-634-1414",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "DDS, MD"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "KS",
"license": "04-31176",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100420750C",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "107125",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.