Darrel R. Blehm D.D.S., P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

104205 Issued in CO

Legal business name

DARREL R. BLEHM D.D.S., P.C.

Practice address

1212 Bookcliff Ave
Suite #4
Grand Junction, CO 81501-8162

Phone

(970) 245-0785

Fax

(970) 254-9830

NPI assigned

Jun 11, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Jackie Sue Holt

Title

Practice Administrator

Phone

(970) 245-0785

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689616088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 BOOKCLIFF AVE",
            "address_2": "SUITE #4",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815018162",
            "telephone_number": "970-245-0785",
            "fax_number": "970-254-9830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 BOOKCLIFF AVE",
            "address_2": "SUITE #4",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815018162",
            "telephone_number": "970-245-0785",
            "fax_number": "970-254-9830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARREL R. BLEHM D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "970-245-0785",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "104205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.