Individual provider Active NPI

Robert Bates Blomeyer II, D.D.S.

  • Dentist
  • Dallas, TX
National Provider Identifier
1922232917
Registry record updated May 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9655 Issued in TX
Practice address
5408 Alpha Rd
Dallas, TX 75240-4506
Phone
(972) 386-6200
Fax
(972) 386-9524
NPI assigned
May 6, 2009
Last updated
May 6, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9655 TX Primary

Addresses

Primary practice location

5408 Alpha Rd
Dallas, TX 75240-4506

Mailing address

5408 Alpha Rd
Dallas, TX 75240-4506
Phone (972) 386-6200

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
Shandon M. Colter, D.D.S., PA Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241568000000",
    "number": "1922232917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5408 ALPHA RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752404506",
            "telephone_number": "972-386-6200",
            "fax_number": "972-386-9524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5408 ALPHA RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752404506",
            "telephone_number": "972-386-6200",
            "fax_number": "972-386-9524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOMEYER",
        "first_name": "ROBERT",
        "middle_name": "BATES",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-06",
        "last_updated": "2009-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "9655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; 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.