Organization Active NPI

Carlen Palmer Blume DDS, PC

  • Pediatric Dentistry
  • San Antonio, TX
National Provider Identifier
1720394935
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
20057 Issued in TX
Legal business name
CARLEN PALMER BLUME DDS, PC
Practice address
8366 N Loop 1604 W Ste 108
San Antonio, TX 78249-3533
Phone
(210) 614-3334
Fax
(210) 614-3331
NPI assigned
Aug 25, 2010
Last updated
Jun 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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

Authorized official

Name
Dr. Carlen Blume, DDSNPI 1619953387
Title
Dentist
Phone
(210) 614-3334

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 20057 TX Primary

Addresses

Primary practice location

8366 N Loop 1604 W Ste 108
San Antonio, TX 78249-3533

Mailing address

8366 N Loop 1604 W Ste 108
San Antonio, TX 78249-3533
Phone (210) 614-3334

National Provider Directory

National Provider Directory

Locations

8366 N Loop 1604 W
Ste 108
San Antonio, TX 78249
Phone (210) 614-3334

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560902400000",
    "number": "1720394935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8366 N LOOP 1604 W STE 108",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782493533",
            "telephone_number": "210-614-3334",
            "fax_number": "210-614-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8366 N LOOP 1604 W STE 108",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782493533",
            "telephone_number": "210-614-3334",
            "fax_number": "210-614-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLEN PALMER BLUME DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-25",
        "last_updated": "2019-06-19",
        "status": "A",
        "authorized_official_last_name": "BLUME",
        "authorized_official_first_name": "CARLEN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "210-614-3334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "20057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; 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.