Organization Active NPI

Blessing Aesthetics, PA

  • Dentist
  • Palm Beach Gardens, FL
National Provider Identifier
1801514799
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
BLESSING AESTHETICS, PA
Practice address
11211 Prosperity Farms Rd Ste D123
Palm Beach Gardens, FL 33410-3476
Phone
(561) 775-1898
NPI assigned
Aug 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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

Authorized official

Name
Dr. Tracy Shaw Blessing, DMDNPI 1316280928
Title
Owner
Phone
(561) 775-1898

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

11211 Prosperity Farms Rd Ste D123
Palm Beach Gardens, FL 33410-3476

Mailing address

11211 Prosperity Farms Rd Ste D123
Palm Beach Gardens, FL 33410-3476
Phone (561) 775-1898

Other identifiers 2

IdentifierTypeStateIssuer
1184768566OtherFLNPI
1316280928OtherFLNPI

National Provider Directory

National Provider Directory

Locations

11211 Prosperity Farms Rd
Ste D123
Palm Beach Gardens, FL 33410
Phone (561) 775-1898

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1660694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660694400000",
    "number": "1801514799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11211 PROSPERITY FARMS RD STE D123",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103476",
            "telephone_number": "561-775-1898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11211 PROSPERITY FARMS RD STE D123",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103476",
            "telephone_number": "561-775-1898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLESSING AESTHETICS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-17",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "BLESSING",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "SHAW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-775-1898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1184768566",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1316280928",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; 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.