Active NPI
Christina Ruth Blatchford, DMD
- Dentist
- Milwaukie, OR
National Provider Identifier
1639309511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D9307
- Practice address
- 4506 SE King Rd
Milwaukie, OR 97222-5233 - Phone
- (503) 659-1337
- Fax
- (503) 659-6411
- NPI assigned
- Jul 25, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D9307 | OR | Primary |
Addresses
Primary practice location
4506 SE King Rd
Milwaukie, OR 97222-5233
Mailing address
4506 SE King Rd
Milwaukie, OR 97222-5233
Phone (503) 659-1337
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D9307 | Other | OR | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248480000000",
"number": "1639309511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4506 SE KING RD",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972225233",
"telephone_number": "503-659-1337",
"fax_number": "503-659-6411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4506 SE KING RD",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972225233",
"telephone_number": "503-659-1337",
"fax_number": "503-659-6411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLATCHFORD",
"first_name": "CHRISTINA",
"middle_name": "RUTH",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-25",
"last_updated": "2009-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OR",
"license": "D9307",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "D9307",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukie, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.