Jonathan E Blatt, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901020554 Issued in MI

Practice address

32226 Tall Timber Dr
Farmington Hills, MI 48334-1767

Phone

(248) 760-7230

NPI assigned

Apr 30, 2012

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 MI

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": "1335744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335744000000",
    "number": "1932467891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32226 TALL TIMBER DR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483341767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32226 TALL TIMBER DR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483341767",
            "telephone_number": "248-760-7230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLATT",
        "first_name": "JONATHAN",
        "middle_name": "E",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-30",
        "last_updated": "2012-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901020554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassie Blashfield
• Jacob Blashill
• Marisol Blasini
• Brooke R Blasko
• Ariel Blaskowsky
• Hailey Blattner
• Cheryl Beth Blau, M.A., T.L.L.P.
• Ellen Faye Blau Sr., PSY.D.
• Larry Lewis Blau, D.O.
• Meghan Blayda

• General Practice Dentistry in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; 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.