Individual provider Active NPI

Andrew R Blank, DMD

  • General Practice Dentistry
  • Conover, NC
National Provider Identifier
1639736887
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11358 Issued in NC
Practice address
205 1St St E
Conover, NC 28613-2103
Phone
(828) 464-2401
Fax
(828) 464-2416
NPI assigned
May 23, 2019
Last updated
Jun 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11358 NC Primary

Addresses

Primary practice location

205 1St St E
Conover, NC 28613-2103

Mailing address

70 Charlotte Ann LN
Hickory, NC 28601-8802
Phone (704) 223-0857

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11358NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sheffield and Blank, DMD, PLLC General Practice CurrentSince Jun 12, 2022 Accepting new patients
William W Sherrod DDS General Practice PastSince Jun 5, 2022 Accepting new patients

Locations

205 1st St E
Conover, NC 28613
Phone (828) 464-2401

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1639736887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 CHARLOTTE ANN LN",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286018802",
            "telephone_number": "704-223-0857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 1ST ST E",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286132103",
            "telephone_number": "828-464-2401",
            "fax_number": "828-464-2416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANK",
        "first_name": "ANDREW",
        "middle_name": "R",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-23",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "11358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conover, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; 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.