Nowell Edward Blecha, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Practice address

10 W Martin Ave Ste 164
Naperville, IL 60540-6563

Phone

(630) 961-5151

Fax

(630) 961-5173

NPI assigned

Sep 15, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Nowell E. Blecha LTD DDS

  • Dental Clinic/Center
  • Naperville, IL
  • NPI 1215109160
  NPD (past) Authorized official
• Joms LLC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Naperville, IL
  • NPI 1528543121
  NPD (past)

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780780197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W MARTIN AVE STE 164",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406563",
            "telephone_number": "630-961-5151",
            "fax_number": "630-961-5173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W MARTIN AVE STE 164",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406563",
            "telephone_number": "630-961-5151",
            "fax_number": "630-961-5173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLECHA",
        "first_name": "NOWELL",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Blaney, PA-C
• Olivia Marie Blank-Stewart
• Krisanna Sharon Blasberg, PSY.D.
• Wayne Joseph Blaszak, M.D.
• Natalie Irene Blazyk
• William Just Bleecker, DDS
• Mary Blessing
• William Ray Block, DPT
• Sandra Lee Blood, M.A., LCPC
• Taylor L Bloom

• Oral and Maxillofacial Surgery (Dentist) in Naperville, IL
• Providers in Naperville, IL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.