Bliss and Blackman LTD.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BLISS AND BLACKMAN LTD.

Practice address

400 N Gary Ave
Carol Stream, IL 60188-4916

Phone

(630) 260-0333

Fax

(630) 260-2981

NPI assigned

Apr 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Roger Zenas Bliss, DDS

Title

Dentist

Phone

(630) 260-0333

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• David J Blackman, DDS

  • General Practice Dentistry
  • Carol Stream, IL
  • NPI 1760525984

  General Practice

  NPD (past)

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578684262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N GARY AVE",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601884916",
            "telephone_number": "630-260-0333",
            "fax_number": "630-260-2981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N GARY AVE",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601884916",
            "telephone_number": "630-260-0333",
            "fax_number": "630-260-2981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLISS AND BLACKMAN LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLISS",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "ZENAS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "630-260-0333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1124173687",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1760525984",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer A. Bejaoui, RPH
• John Joseph Berkemeyer
• Courtney Berry Ewasiuk, LMT, NCTMB
• Stacey Bextel, RN, IBCLC
• David J Blackman, DDS
• Bodyworks Chiropractic PLLC
• Bodyworks Medical Center of Carol Stream PLLC
• Bodyworks Medical Center of CS PLLC
• Bodyworks Medical Center PLLC
• Danette McHugh Boehm, MS, RN, IBCLC

• All providers in Carol Stream, IL
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.