Dianelis Blanco, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN 21265 Issued in FL

Practice address

4983 Golden Gate Pkwy
Naples, FL 34116-6972

Phone

(239) 455-1044

NPI assigned

Jun 12, 2015

Sex

Female

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.

• TD Dental Group LLC

  • Dental Clinic/Center
  • Bonita Springs, FL
  • NPI 1063022051
  NPD Authorized official

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

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1922489277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4983 GOLDEN GATE PKWY",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341166972",
            "telephone_number": "239-455-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4983 GOLDEN GATE PKWY",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341166972",
            "telephone_number": "239-455-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCO",
        "first_name": "DIANELIS",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-12",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 21265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Blake
• Bryon Paul Blanchard, MD
• Nathali Blanco Cabo, RBT-25-415301
• Alejandro Blanco-Franco, M.D.
• Colin Blanco, PA-C
• Janneth De Los Angeles Blanco
• Tamara Blanco, SLP
• Blane Crandall MD LLC
• Karen S Blankenship, MSN, ARNP
• Elliot Blau, M.D.

• General Practice Dentistry in Naples, FL
• Providers in Naples, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.