James M. Blake, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0400531 Issued in NY

Practice address

6185 S Park Ave
Hamburg, NY 14075-3846

Phone

(716) 648-2600

Fax

(716) 648-2775

NPI assigned

Jul 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Enrolled in NY

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

State licenses

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871517847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6185 S PARK AVE",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140753846",
            "telephone_number": "716-648-2600",
            "fax_number": "716-648-2775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6185 S PARK AVE",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140753846",
            "telephone_number": "716-648-2600",
            "fax_number": "716-648-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "JAMES",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "0400531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph C Biondolillo, O.D.
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• Tammy Lynn Bissonnette, MA, LMHC, CASAC, QHP
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• Karen Lynne Blair, OT/L
• Gregory Blanford, PT DPT
• Bleich, Inc. (Miracle Ear Center)
• Madison Blesy, PHARMD
• Madeleine Lauren Blom
• Susan I Blumenthal, LCSW-R

• General Practice Dentistry in Hamburg, NY
• Providers in Hamburg, NY by specialty
• General Practice Dentistry in New York

• 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.