Kailey Blakeney

Primary specialty

TechnicianTaxonomy code 374700000X

License

1265000373 Issued in VA

Practice address

1925 Glenn Mitchell Dr Ste 206
Virginia Beach, VA 23456-0177

Phone

(757) 507-0720

Fax

(757) 431-7319

NPI assigned

Jan 18, 2023

Last updated

Jan 18, 2023By the provider in NPPES

Sex

Female

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1821703406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 PARKLAND LN",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234645220",
            "telephone_number": "757-880-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 GLENN MITCHELL DR STE 206",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234560177",
            "telephone_number": "757-507-0720",
            "fax_number": "757-431-7319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKENEY",
        "first_name": "KAILEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": "VA",
            "license": "1265000373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blaine Travis Bohrer, DDS
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• Blanchard Dentistry, LLC (Bay Colony Dentistry)
• Blanchard Dentistry, PLLC (A Division of Atlantic Dental Care, T/a Bay Colony Dentistry)
• Deborah Ryan Blanchard, D. D. S.
• Ameanthea Rica Blanco-Knezovich, DNP, FNP
• Mary M Bland, MD

• Technician in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Technician in Virginia

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