Jorge L Blanco, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

DN16115 Issued in FL

Practice address

7801 Coral Way
Suite # 100
Miami, FL 33155-6538

Phone

(305) 262-4604

NPI assigned

Mar 3, 2008

Sex

Male

Sole proprietor

Yes

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Blanco Jamis Dental Group, P.a.

  • General Practice Dentistry
  • Miami, FL
  • NPI 1265780704
  NPD Authorized official
• Total Dental Care of Florida, LLC

  • Dentist
  • Hialeah, FL
  • NPI 1447656491
  NPD (past)

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490659200000",
    "number": "1609046960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440308",
            "address_2": "SUITE # 100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331440308",
            "telephone_number": "786-393-6875",
            "fax_number": "305-697-9785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 CORAL WAY",
            "address_2": "SUITE # 100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331556538",
            "telephone_number": "305-262-4604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCO",
        "first_name": "JORGE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-03",
        "last_updated": "2017-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN16115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Botero Blanco, PA-C
• Jessy Blanco
• Jimena Gabriela Blanco, M.S. CCC-SLP
• Joanna Maria Blanco
• Jorge Blanco Jr., PTA
• Jose Blanco
• Julio Blanco, PHARMD
• Justin Blanco
• Katherine Blanco, APRN
• Kayla K Blanco

• Dentist in Miami, FL
• Providers in Miami, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.