Organization Active NPI

Blanco Dentistry and Orthodontics PLLC

  • General Practice Dentistry
  • Blanco, TX
National Provider Identifier
1740767094
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BLANCO DENTISTRY AND ORTHODONTICS PLLC
Practice address
2222 N US Highway 281
Blanco, TX 78606-5356
Phone
(830) 833-2200
NPI assigned
Jul 19, 2018
Last updated
Jul 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Authorized official

Name
Faith Gaskins
Title
Director of Credentialing
Phone
(972) 869-3789

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

2222 N US Highway 281
Blanco, TX 78606-5356

Mailing address

2403 Lacy LN
Carrollton, TX 75006-6514
Phone (972) 869-3789

National Provider Directory

National Provider Directory

Locations

2222 N US Highway 281
Blanco, TX 78606
Phone (830) 833-2200

2403 Lacy Ln
Carrollton, TX 75006

NPI Registry JSON

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1740767094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 LACY LN",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750066514",
            "telephone_number": "972-869-3789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 N US HIGHWAY 281",
            "city": "BLANCO",
            "state": "TX",
            "postal_code": "786065356",
            "telephone_number": "830-833-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLANCO DENTISTRY AND ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-19",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "GASKINS",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blanco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.