Lynn Reed Blaisdell, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D1697 Issued in ID

Practice address

8877 W Hackamore Dr
Boise, ID 83709-1671

Phone

(208) 377-9696

NPI assigned

Jun 28, 2006

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Lynn R. Blaisdell, DDS, PA

  • General Practice Dentistry
  • Boise, ID
  • NPI 1881853208
  NPD (past) Authorized official
• Craig D. Blaisdell, DDS, PLLC

  • General Practice Dentistry
  • Boise, ID
  • NPI 1023987369
  NPD (past)

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649208901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5170 DECATUR DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837042225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8877 W HACKAMORE DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091671",
            "telephone_number": "208-377-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAISDELL",
        "first_name": "LYNN",
        "middle_name": "REED",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ID",
            "license": "D1697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah C Blain, RPH
• Blair Legacy, LLC
• Blair Pediatric Dentistry PC
• Lon E Blair, DMD
• Craig D Blaisdell, D.D.S
• Alexa Leigh Blake, M.S., CCC-SLP, CLC
• Alice P Blake
• Dudley David Blake, PH.D.
• Marjorie C Blake, MD
• Joseph Blampied, D.C.

• Dentist in Boise, ID
• Providers in Boise, ID by specialty
• Dentist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.