Blake G. Sinclair, DDS II, P.a.

Primary specialty

DentistTaxonomy code 122300000X

License

17163 Issued in TX

Legal business name

BLAKE G. SINCLAIR, DDS II, P.A.

Practice address

3801 North St
Nacogdoches, TX 75965-2473

Phone

(936) 560-2275

Fax

(936) 560-2270

NPI assigned

Dec 16, 2015

Organization subpart

No

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

Authorized official

Name

David Simmons

Title

Managing Dentist

Phone

(936) 560-2275

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450224000000",
    "number": "1619332764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 NORTH ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759652473",
            "telephone_number": "936-560-2275",
            "fax_number": "936-560-2270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 NORTH ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759652473",
            "telephone_number": "936-560-2275",
            "fax_number": "936-560-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAKE G. SINCLAIR, DDS II, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-16",
        "last_updated": "2015-12-16",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGING DENTIST",
        "authorized_official_telephone_number": "936-560-2275"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "17163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bio-Medical Applications of Texas, Inc. (Fresenius Kidney Care Nacogdoches Dialysis Center)
• Aimee Bird, MS, CCC/SLP
• Elisabeth Anne Bird, ATC
• Deanna Ellen Bishop, FNP-BC
• Shawna C Blackmon, PA
• Tammy Blank, EXECUTIVE DIRECTOR
• BMW Healthcare, Inc (Westridge Manor)
• Linda Stark Bobo, PHD, ATC, LAT
• William Parker Bobo, ATC, LAT
• Vasudeva M Bommanna, MD

• Dentist in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; 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.