Alyssa L Blanton, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D012255 Issued in AZ

Practice address

295 W Valencia Rd
Tucson, AZ 85706-7046

Phone

(520) 573-1777

NPI assigned

May 14, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• General Dentistry 4 Kids-Valencia PLLC

  • General Practice Dentistry
  • Tucson, AZ
  • NPI 1699986356
  NPD

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

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1558110429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 W BEARDSLEY RD APT 2041",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085077",
            "telephone_number": "903-343-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 W VALENCIA RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857067046",
            "telephone_number": "520-573-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANTON",
        "first_name": "ALYSSA",
        "middle_name": "L",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D012255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Joyce Blank, LCSW
• Carol J Blankenship, LCSQ
• Kenneth Ray Blankenship, PT
• Riely Blankinship
• Joseph Anthony Blansett
• Tracey Lee Blanton, PHARMD
• Andrew Blasdell
• Thomas Michael Blase, D.D.S., M.S.D.
• Steven J. Blatchford, M.D.
• Mary L. Falls Blatt, M.D.

• General Practice Dentistry in Tucson, AZ
• Providers in Tucson, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; 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.