Dallas Blanco, D.O.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

DO209553 Issued in OR

Practice address

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Phone

(503) 418-0990

Fax

(503) 494-4982

NPI assigned

May 3, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Diagnostic Radiology

Education

William Carey University College of Osteopathic Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Acadiana Radiology GroupGroup PAC ID 1355403114, 50 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Opelousas General Health System Hospital, Opelousas, LA, CCN 190017
• Iberia Medical Center Hospital, New Iberia, LA, CCN 190054
• Abbeville General Hospital Hospital, Abbeville, LA, CCN 190034
• Ochsner Lafayette General Medical Center Hospital, Lafayette, LA, CCN 190002
• Our Lady of Lourdes Regional Medical Center, Inc Hospital, Lafayette, LA, CCN 190102

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Acadiana Radiology Group

  • Diagnostic Radiology Physician
  • Lafayette, LA
  • NPI 1649422726
  Medicare reassignment Care Compare group NPD
• Imaging Affiliates of Baton Rouge, LTD.

  • Clinic/Center
  • Baton Rouge, LA
  • NPI 1710093687
  Medicare reassignment NPD
• Northwest Imaging, LLC

  • Radiology Clinic/Center
  • Shreveport, LA
  • NPI 1568556256
  Medicare reassignment NPD
• Ark-la-Tex Diagnostics, Inc.

  • Radiology Clinic/Center
  • Alexandria, LA
  • NPI 1528081924
  NPD
• Ascension Open MRI, LLC.

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Gonzales, LA
  • NPI 1235259326
  NPD
• Bluebonnet Imaging Center, LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Baton Rouge, LA
  • NPI 1942393699
  NPD
• Central Imaging Center, LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Baton Rouge, LA
  • NPI 1912954520
  NPD
• Louisiana Pet/CT Imaging of Lake Charles. LLC

  • Radiology Clinic/Center
  • Lake Charles, LA
  • NPI 1437172822
  NPD
• M. R. Imaging Systems, Inc.

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Alexandria, LA
  • NPI 1780639559
  NPD
• Northeast Imaging Center

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Monroe, LA
  • NPI 1558864249
  NPD
• Ogh Imaging, LLC

  • Radiology Clinic/Center
  • Grand Coteau, LA
  • NPI 1598791188
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Abbeville General Hospital

  • Rural Acute Care Hospital
  • Abbeville, LA
  • NPI 1255300414
  Care Compare affiliation
• Hospital Service District No 1 of Iberia Parish

  • Rehabilitation Hospital Unit
  • New Iberia, LA
  • NPI 1992159925
  Care Compare affiliation
• Hospital Service District No. 1 of Iberia Parish

  • General Acute Care Hospital
  • New Iberia, LA
  • NPI 1285601088
  Care Compare affiliation
• Lafayette General Medical Center Inc

  • General Acute Care Hospital
  • Lafayette, LA
  • NPI 1275536799
  Care Compare affiliation
• Opelousas General Hospital Authority

  • General Acute Care Hospital
  • Opelousas, LA
  • NPI 1447230388
  Care Compare affiliation
• Our Lady of Lourdes Regional Medical Center, Inc

  • General Acute Care Hospital
  • Lafayette, LA
  • NPI 1598766495
  Care Compare affiliation

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1740716331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 PRINCETON AVE SW",
            "address_2": "POB II, SUITE 106",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393011",
            "telephone_number": "503-418-0990",
            "fax_number": "503-494-4982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCO",
        "first_name": "DALLAS",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-03",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "DO209553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Henry Blanchard, MD
• Julienne J Blanchette, QMHA
• Mary Alice Blanchette, M.D.
• Nicole Blanck
• Aglahia Blanco, CADC II
• Mary Patricia Bland, M.S., CGC
• Ashleigh Blandin
• Dinisha Marissa Blanding, PSY.D
• Brad Blando
• Bruce Henry Blank, M.D.

• Diagnostic Radiology Physician in Portland, OR
• Providers in Portland, OR by specialty
• Diagnostic Radiology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.