Steven Parker Blakeney, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3991-18 Issued in MS

Practice address

12182 Highway 49
Gulfport, MS 39503-3125

Phone

(228) 832-4224

Fax

(228) 832-4896

NPI assigned

Jun 14, 2018

Sex

Male

Sole proprietor

No

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.

• Charlton Bryan Blakeney D.M.D.

  • General Practice Dentistry
  • Gulfport, MS
  • NPI 1417352204
  NPD (past)

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528934400000",
    "number": "1659864544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12182 HIGHWAY 49",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033125",
            "telephone_number": "228-832-4224",
            "fax_number": "228-832-4896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12182 HIGHWAY 49",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033125",
            "telephone_number": "228-832-4224",
            "fax_number": "228-832-4896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKENEY",
        "first_name": "STEVEN",
        "middle_name": "PARKER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-14",
        "last_updated": "2018-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3991-18",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fernanda Blackmer, PTA
• Lora Blades, RBT
• Leona Renea Blain
• Linsey Blain
• Vicki Arlene Blaize, LCSW
• Mallory Blakeslee, D.O.
• Virginia Arrington Blalack, MD
• Matthew Blanchard, MD
• Thomas Blanks, M.D.
• Ashley Blappert

• General Practice Dentistry in Gulfport, MS
• Providers in Gulfport, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2018; 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.