Organization Active NPI

Jeffrey D. Blum, D.D.S., P.a.

  • Oral and Maxillofacial Surgery (Dentist)
  • Miami Beach, FL
National Provider Identifier
1518196013
Registry record updated Jul 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN5527 Issued in FL
Legal business name
JEFFREY D. BLUM, D.D.S., P.A.
Practice address
4308 Alton Rd
Suite 850
Miami Beach, FL 33140-4556
Phone
(305) 538-3446
Fax
(305) 538-2019
NPI assigned
Jul 7, 2009
Last updated
Jul 7, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2009

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

Authorized official

Name
Dr. Jeffrey Dennis Blum, D.D.S.NPI 1518905579
Title
President
Phone
(305) 538-4556

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
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DN5527 FL Primary

Addresses

Primary practice location

4308 Alton Rd
Suite 850
Miami Beach, FL 33140-4556

Mailing address

4308 Alton Rd
Suite 850
Miami Beach, FL 33140-4556
Phone (305) 538-3446

National Provider Directory

National Provider Directory

Locations

4308 Alton Rd
Ste 850
Miami Beach, FL 33140
Phone (305) 538-3446

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": "1246924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246924800000",
    "number": "1518196013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4308 ALTON RD",
            "address_2": "SUITE 850",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331404556",
            "telephone_number": "305-538-3446",
            "fax_number": "305-538-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4308 ALTON RD",
            "address_2": "SUITE 850",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331404556",
            "telephone_number": "305-538-3446",
            "fax_number": "305-538-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY D. BLUM, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-07",
        "last_updated": "2009-07-07",
        "status": "A",
        "authorized_official_last_name": "BLUM",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "DENNIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-538-4556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN5527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2009; 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.