Organization Active NPI

Dunkin-Blanton Health Center

  • Specialist
  • West Union, OH
National Provider Identifier
1700075603
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35050128D Issued in OH
Legal business name
DUNKIN-BLANTON HEALTH CENTER
Practice address
211 N Wilson Dr
West Union, OH 45693-1562
Phone
(937) 544-5698
Fax
(937) 544-1708
NPI assigned
Oct 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Susan Elaine Dunkin-Blanton, M.D
Title
Owner/Physician
Phone
(937) 544-5698

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 35050128D OH Primary

Addresses

Primary practice location

211 N Wilson Dr
West Union, OH 45693-1562

Mailing address

211 N Wilson Dr
West Union, OH 45693-1562
Phone (937) 544-5698

Other identifiers 2

IdentifierTypeStateIssuer
0558570MedicaidOH
300016OtherOHAMERIGROUP

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1700075603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 N WILSON DR",
            "city": "WEST UNION",
            "state": "OH",
            "postal_code": "456931562",
            "telephone_number": "937-544-5698",
            "fax_number": "937-544-1708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N WILSON DR",
            "city": "WEST UNION",
            "state": "OH",
            "postal_code": "456931562",
            "telephone_number": "937-544-5698",
            "fax_number": "937-544-1708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNKIN-BLANTON HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "DUNKIN-BLANTON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "937-544-5698",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "35050128D",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0558570",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "300016",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Union, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.