Alex D. Blazzard, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4495 Issued in NV

Practice address

840 Pinnacle CT
Suite 6a
Mesquite, NV 89027-3303

Phone

(702) 345-8686

NPI assigned

Mar 3, 2006

Last updated

Jul 13, 2026By 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 NV

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

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1932176203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 PINNACLE CT",
            "address_2": "SUITE 6A",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890273303",
            "telephone_number": "702-345-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 PINNACLE CT",
            "address_2": "SUITE 6A",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890273303",
            "telephone_number": "702-345-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAZZARD",
        "first_name": "ALEX",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "4495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Jean Bevins
• Carolyn L Bidwell, MA
• Leo F Black Jr., D.C.
• Gilbert Blancarte, M.D.
• Beatrice Mary Blay, FNP
• Brett P Richardson OD PLLC
• Rodney Briggs, PA-C
• Matthew David Brockway
• Scott Kirk Brotherson, O.D.
• Holly Victoria Brown

• General Practice Dentistry in Mesquite, NV
• Providers in Mesquite, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.