Bleu Dentistry LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30681 Issued in TX

Legal business name

BLEU DENTISTRY LLC

Doing business as

Bleu Dentistry LLC

Practice address

3607 Oak Lawn Ave
201
Dallas, TX 75219-4743

Phone

(214) 699-4976

Fax

(214) 712-4940

NPI assigned

Feb 3, 2016

Last updated

Oct 4, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maria Flores

Title

Office Manager

Phone

(214) 699-4976

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bleu Dentistry LLC Doing business as

Locations

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.

• Samuel Casco, DDS

  • Dentist
  • Rowlett, TX
  • NPI 1629778485
  NPD (past)

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

{
    "created_epoch": "1454457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570147200000",
    "number": "1609234798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3607 OAK LAWN AVE",
            "address_2": "201",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194743",
            "telephone_number": "214-526-2538",
            "fax_number": "214-559-8955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3607 OAK LAWN AVE",
            "address_2": "201",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194743",
            "telephone_number": "214-699-4976",
            "fax_number": "214-712-4940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLEU DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-03",
        "last_updated": "2019-10-04",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "214-699-4976"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "30681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1194163618",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bleu Dentistry LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Dallas, TX
• Providers in Dallas, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; 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.