Michael Allan Blamires, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

361602-9922 Issued in UT

Practice address

1770 Combe Rd Ste 3
Ogden, UT 84403-5067

Phone

(801) 621-8440

Fax

(801) 627-9063

NPI assigned

Dec 13, 2006

Last updated

Apr 16, 2015By 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 UT

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Michael a Blamires DDS, Inc

  dba Canyon Ridge Dental

  • Dental Clinic/Center
  • Ogden, UT
  • NPI 1407243579
  NPD (past) Authorized official
• Blamires Arch Ventures, LLLP

  dba Canyon Ridge Dental

  • General Practice Dentistry
  • Ogden, UT
  • NPI 1972963478
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429142400000",
    "number": "1912068750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 COMBE RD STE 3",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844035067",
            "telephone_number": "801-621-8440",
            "fax_number": "801-627-9063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 COMBE RD STE 3",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844035067",
            "telephone_number": "801-621-8440",
            "fax_number": "801-627-9063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAMIRES",
        "first_name": "MICHAEL",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2015-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "361602-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Katherine Blair
• Zoe Blair
• Brent T Blaisdell, PH.D.
• Blake Welling, MD PC
• Blamires Arch Ventures, LLLP (Canyon Ridge Dental)
• Baylee Blanchard, ATC
• Kayla Rose Blanton
• Blaser Medical LLC
• Marina Blea
• James Aaron Bledsoe, DO

• General Practice Dentistry in Ogden, UT
• Providers in Ogden, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; 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.