Active NPI
Deborah Ryan Blanchard, D. D. S.
- General Practice Dentistry
- Virginia Beach, VA
National Provider Identifier
1770632192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401410872
- Practice address
- 506 Pinewood SQ
Virginia Beach, VA 23451-3925 - Phone
- (757) 472-9019
- NPI assigned
- Jan 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0401410872 | VA | Primary |
Addresses
Primary practice location
506 Pinewood SQ
Virginia Beach, VA 23451-3925
Mailing address
1128 E Bay Shore Dr
Virginia Beach, VA 23451-3870
Phone (757) 428-9019
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150731016241 | VA | Order and Referring Only - Dentist | 9436463627 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blanchard Dentistry, LLC | General Practice | Past | Accepting new patients |
| Blanchard Dentistry, PLLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Virginia Beach, VA
- NPI 1780828855
-
- Dentist
- Virginia Beach, VA
- NPI 1548506785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240185600000",
"number": "1770632192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1128 E BAY SHORE DR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234513870",
"telephone_number": "757-428-9019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 PINEWOOD SQ",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234513925",
"telephone_number": "757-472-9019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANCHARD",
"first_name": "DEBORAH",
"middle_name": "RYAN",
"name_prefix": "Dr.",
"credential": "D. D. S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2009-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401410872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; 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.