Martin Jerome Blanchard, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2367 Issued in RI

Practice address

708 Warwick Ave
Warwick, RI 02888-2670

Phone

(401) 785-2111

Fax

(401) 941-1547

NPI assigned

Mar 28, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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

Enrolled in RI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mark S. Bichajian, DMD, Inc.

  dba Professional Dental Associates

  • Dental Clinic/Center
  • Warwick, RI
  • NPI 1871677583
  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689793259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 QUEEN ST",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028183739",
            "telephone_number": "401-884-2725",
            "fax_number": "401-941-1547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 WARWICK AVE",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028882670",
            "telephone_number": "401-785-2111",
            "fax_number": "401-941-1547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCHARD",
        "first_name": "MARTIN",
        "middle_name": "JEROME",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "2367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rose Constance Bissonnette, LICSW
• Angela M Bivens, MSN, NP-C
• Wendy L Blackburn
• Kathleen Blais, LICSW
• Joseph Emile Blanchard
• Amanda Blanchette
• Jennifer Blanchette, LTM
• Marybeth Blanchette, BCBA
• Doree Blanco
• James Blechman, MD

• General Practice Dentistry in Warwick, RI
• Providers in Warwick, RI by specialty
• General Practice Dentistry in Rhode Island

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.