Individual provider Active NPI

Caitlin Blanchard, D.A.

  • Dental Assistant
  • Bradenton, FL
National Provider Identifier
1881215408
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AssistantTaxonomy code 126800000X
Practice address
4012 9TH Ave W
Bradenton, FL 34205-1706
Phone
(941) 749-7968
NPI assigned
May 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Assistant 126800000X FL Primary

Addresses

Primary practice location

4012 9TH Ave W
Bradenton, FL 34205-1706

Mailing address

1505 21St St W
Bradenton, FL 34205-4752
Phone (941) 713-1858

Other practice location 1

1505 21st St W
Bradenton, FL 34205-4752
Phone (941) 713-1858

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sharp Dentistry PLLC CurrentSince Mar 21, 2021 Accepting new patients
Nancy M Perron, DMD, PLLC PastSince May 10, 2020 Accepting new patients

Locations

4012 9th Ave W
Bradenton, FL 34205
Phone (941) 749-7638

Organizations & group practices 2

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": "1588636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588636800000",
    "number": "1881215408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 21ST ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342054752",
            "telephone_number": "941-713-1858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4012 9TH AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342051706",
            "telephone_number": "941-749-7968"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1505 21st St W",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342054752",
            "country_code": "US",
            "telephone_number": "941-713-1858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLANCHARD",
        "first_name": "CAITLIN",
        "credential": "D.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-05",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; 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.