Individual provider Active NPI

Poppy Montana-Marie Blaseio, D.D.S.

  • Endodontics
  • Nashville, TN
National Provider Identifier
1811398951
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
10558 Issued in TN
Practice address
7518 Hwy 70 S Ste B
Nashville, TN 37221-1848
Phone
(615) 669-2780
NPI assigned
Sep 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 10558 TN Primary

Addresses

Primary practice location

7518 Hwy 70 S Ste B
Nashville, TN 37221-1848

Mailing address

604 Elk Springs CT
Franklin, TN 37069-8220
Phone (510) 520-2713

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10558TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Endodontics PLLC CurrentSince Apr 6, 2023 Accepting new patients
Harpeth Endodontics PLLC Endodontics CurrentSince Apr 6, 2023 Accepting new patients
Brentwood Endodontics LLC Endodontics PastSince Sep 14, 2020 Accepting new patients

Locations

7518 Highway 70 S
Ste B
Nashville, TN 37221
Phone (615) 669-2780

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1811398951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 ELK SPRINGS CT",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370698220",
            "telephone_number": "510-520-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7518 HWY 70 S STE B",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372211848",
            "telephone_number": "615-669-2780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLASEIO",
        "first_name": "POPPY",
        "middle_name": "MONTANA-MARIE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-09",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TN",
            "license": "10558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.