Active NPI
Lorraine De Blanche, MD
- Nuclear Medicine Physician
- Dallas, TX
National Provider Identifier
1912108135
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(2) exclusion effective Apr 20, 2021.
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Medicine Physician
- License
- S2278
- Practice address
- 5323 Harry Hines Blvd.
Dallas, TX 75390-9257 - Phone
- (214) 648-7776
- NPI assigned
- May 29, 2007
- Last updated
- Aug 19, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Medicine Physician | 207U00000X | E-5635 | AR | |
| Nuclear Medicine Physician | 207U00000X | S2278 | TX | Primary |
Addresses
Primary practice location
5323 Harry Hines Blvd.
Dallas, TX 75390-9257
Mailing address
PO Box 845347
Dallas, TX 75284-5347
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 173470001 | Medicaid | AR | |
| P00636383 | Other | AR | RAILRAOD MEDICARE |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566172800000",
"number": "1912108135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 845347",
"city": "DALLAS",
"state": "TX",
"postal_code": "752845347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5323 HARRY HINES BLVD.",
"city": "DALLAS",
"state": "TX",
"postal_code": "753909257",
"telephone_number": "214-648-7776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE BLANCHE",
"first_name": "LORRAINE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-29",
"last_updated": "2019-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "AR",
"license": "E-5635",
"primary": false
},
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "TX",
"license": "S2278",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "173470001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILRAOD MEDICARE",
"identifier": "P00636383",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
- DDS Associates of Ok, PC
- DDS Associates of Texas PA
- Paulo Eduardo De Aguiar Kuriki, M.D.
- Ana Beatriz De Almeida Medeiros
- Hayley Maree De Bivar Branco
- Abel Malaguit De Castro, MD
- Hannah Marguerite De Castro, APRN-CNP
- David Carlo De Fazio, M.D.
- Armando Jose De Fex, MD
- Theresa Raquel De Freitas Nicholson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.