William J. Blaumer

Primary specialty

DentistTaxonomy code 122300000X

License

5026 Issued in OR

Legal business name

WILLIAM J. BLAUMER

Practice address

1355 Edgewater St NW
Salem, OR 97304-4077

Phone

(503) 588-6960

Fax

(503) 365-0056

NPI assigned

Dec 3, 2008

Last updated

Dec 3, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Deana Jeanine Ballard

Title

Office Manager

Phone

(503) 588-6960

Specialties & licenses 3

Addresses

Other identifiers 2

Practitioners 3

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.

• William J Blaumer, DMD

  • General Practice Dentistry
  • Salem, OR
  • NPI 1447258165
  NPD (past)
• Kayla Allen Breyer, DMD

  • General Practice Dentistry
  • Salem, OR
  • NPI 1093594863
  NPD (past)
• Kara L Opheim, DDS

  • Dentist
  • Salem, OR
  • NPI 1306257134
  NPD (past)

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228262400000",
    "number": "1750526893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 EDGEWATER ST NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973044077",
            "telephone_number": "503-588-6960",
            "fax_number": "503-365-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 EDGEWATER ST NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973044077",
            "telephone_number": "503-588-6960",
            "fax_number": "503-365-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM J. BLAUMER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-03",
        "last_updated": "2008-12-03",
        "status": "A",
        "authorized_official_last_name": "BALLARD",
        "authorized_official_first_name": "DEANA",
        "authorized_official_middle_name": "JEANINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "503-588-6960",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "5206",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "5090",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "5026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "91900",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "54495",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Alexandria Lynn Williams, DNP, CNM, RN

• Dentist in Salem, OR
• Providers in Salem, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.