Ralph V Blanchard Jr., DDS

Primary specialty

DentistTaxonomy code 122300000X

License

13460 Issued in MA

Practice address

176 Ashland St
North Adams, MA 01247-4513

Phone

(413) 663-5153

Fax

(413) 663-3459

NPI assigned

Jun 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MA

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 and National Provider Directory roles.

• Ralph V. Blanchard, Jr DDS PC

  • Dentist
  • North Adams, MA
  • NPI 1144386970
  NPD (past) Authorized official
• Donald H. Mead, D.D.S.

  • General Practice Dentistry
  • North Adams, MA
  • NPI 1366610073
  NPD (past)

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403136000000",
    "number": "1750324331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 ASHLAND ST",
            "city": "NORTH ADAMS",
            "state": "MA",
            "postal_code": "012474513",
            "telephone_number": "413-663-5153",
            "fax_number": "413-663-3459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 ASHLAND ST",
            "city": "NORTH ADAMS",
            "state": "MA",
            "postal_code": "012474513",
            "telephone_number": "413-663-5153",
            "fax_number": "413-663-3459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCHARD",
        "first_name": "RALPH",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2014-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "13460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0249629",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "X05494",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Berkshire Orthopaedic Associates, Inc.
• Jennifer Flynn Bernard, MA
• Amber Lynn Besaw
• Caleb Besaw
• Amanda Lynn Blanchard, M.ED.
• Alexandra Boardway
• Matthew Boillat, MA, ATC
• Victoria Bonin, MS
• Brien Center for Mental Health & Substance Abuse SRVS
• Amy Elizabeth Briggs

• Dentist in North Adams, MA
• Providers in North Adams, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; 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.