Jim Blanchard DDS PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

2381 Issued in AR

Legal business name

JIM BLANCHARD DDS PA

Practice address

201 Rice St
Berryville, AR 72616-4388

Phone

(870) 423-6963

Fax

(870) 423-2109

NPI assigned

Mar 18, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Jim Blanchard, DDSNPI 1063520955

Title

President

Phone

(870) 423-6963

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jim D Blanchard, DDS

  • Dentist
  • Berryville, AR
  • NPI 1063520955
  NPD (past) Authorized official

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

{
    "created_epoch": "1395100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1760809537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 RICE ST",
            "city": "BERRYVILLE",
            "state": "AR",
            "postal_code": "726164388",
            "telephone_number": "870-423-6963",
            "fax_number": "870-423-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 RICE ST",
            "city": "BERRYVILLE",
            "state": "AR",
            "postal_code": "726164388",
            "telephone_number": "870-423-6963",
            "fax_number": "870-423-2109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIM BLANCHARD DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-18",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "BLANCHARD",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-423-6963",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AR",
            "license": "2381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104808608",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paige Huffman
• Brenda Kay Jamar, SLPA
• James R Shell
• Cheryl Jean Jenkins-Akers, LAADAC, CCDP, MHPP
• Jeremiah Recovery House, Inc.
• Stephen Matthew Johnson, MHPP
• Kayla Marie Jones, COTA/L
• Victoria Jones, NP
• Joseph M. Ricciardi, M.D.
• Joseph M. Ricciardi, M.D.

• Dental Clinic/Center in Berryville, AR
• Providers in Berryville, AR by specialty
• Dental Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; 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.