Blain Dentistry PC

Primary specialty

DentistTaxonomy code 122300000X

License

050759 Issued in NY

Legal business name

BLAIN DENTISTRY PC

Practice address

229 Post Ave
Westbury, NY 11590-3021

Phone

(516) 282-5100

NPI assigned

Aug 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Carla Majorie Blain, DMDNPI 1619966439

Title

President

Phone

(516) 282-5100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr Carla Blain DMD Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carla M Blain, DMD

  • General Practice Dentistry
  • Westbury, NY
  • NPI 1619966439
  NPD (past) Authorized official

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205539200000",
    "number": "1528173531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 JACKSON AVE",
            "address_2": "#10D",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015436",
            "telephone_number": "516-282-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 POST AVE",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115903021",
            "telephone_number": "516-282-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAIN DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2008-03-15",
        "status": "A",
        "authorized_official_last_name": "BLAIN",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "MAJORIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-282-5100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "050759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0242008",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Carla Blain DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Dentist in Westbury, NY
• Providers in Westbury, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2008; 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.