James Robert Blankenship, D.D.S., P.A.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17268 Issued in TX

Practice address

4920 Seawall Blvd
Galveston, TX 77551-5991

Phone

(409) 762-4488

Fax

(409) 621-2196

NPI assigned

Sep 14, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861597437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4920 SEAWALL BLVD",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775515991",
            "telephone_number": "409-762-4488",
            "fax_number": "409-621-2196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 SEAWALL BLVD",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775515991",
            "telephone_number": "409-762-4488",
            "fax_number": "409-621-2196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANKENSHIP",
        "first_name": "JAMES",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.D.S., P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "17268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelli Blackwell
• Thomas Adrian Blackwell, MD
• Brandon Blake, PHARMD, RPH
• Channa Blakely
• Ann Blakley, MD
• Lucas Scott Blanton, MD
• Christopher John Blewett, MD
• Eva Novak Blight, NNP
• Angela Block, PA-C
• Xiomara Lizette Boagni, NP

• General Practice Dentistry in Galveston, TX
• Providers in Galveston, TX by specialty
• General Practice Dentistry in Texas

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.