Blaine Harris Conrad, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13603 Issued in OH

Practice address

22 Miller Ave
Ashville, OH 43103-1273

Phone

(740) 983-3151

NPI assigned

May 26, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Ashville Dental-M.Alexandrunas, DMD, Inc

  • General Practice Dentistry
  • Ashville, OH
  • NPI 1649677634

  General Practice

  NPD (past)
• Ashville Dental, Jeffrey L Angart, DDS, Inc

  • General Practice Dentistry
  • Ashville, OH
  • NPI 1699900761

  General Practice

  NPD (past)

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

{
    "created_epoch": "1180137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891906038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 MILLER AVE",
            "city": "ASHVILLE",
            "state": "OH",
            "postal_code": "431031273",
            "telephone_number": "740-983-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 MILLER AVE",
            "city": "ASHVILLE",
            "state": "OH",
            "postal_code": "431031273",
            "telephone_number": "740-983-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONRAD",
        "first_name": "BLAINE",
        "middle_name": "HARRIS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "13603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Grimes Caldwell, M.D.
• Christina Linn Chapman
• Chirp Speech LLC
• Laura Joan Climer
• Ashley Nicole Cline, LPN
• Alisha Joy Diehl
• Julie Ann Dye, LPN
• Megan Jo Embrey, MA/CCC-SLP
• Heather Eskew
• Vivian Fast

• All providers in Ashville, OH
• General Practice Dentistry in Ohio

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.