Organization Active NPI

Blanchard Inc

  • Dentist
  • Las Vegas, NV
National Provider Identifier
1952604027
Registry record updated Dec 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0461 Issued in NV
Legal business name
BLANCHARD INC
Practice address
2605 S Decatur Blvd
116
Las Vegas, NV 89102-8591
Phone
(702) 876-2525
NPI assigned
Dec 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2010

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

Authorized official

Name
Dr. Richard Blanchard, DDS
Title
President
Phone
(702) 876-2525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 0461 NV Primary

Addresses

Primary practice location

2605 S Decatur Blvd
116
Las Vegas, NV 89102-8591

Mailing address

2605 S Decatur Blvd
116
Las Vegas, NV 89102-8591
Phone (702) 876-2525

Other identifiers 1

IdentifierTypeStateIssuer
0461OtherNVDENTAL LICENSE NUMBER

National Provider Directory

National Provider Directory

Locations

2605 S Decatur Blvd
Ste 116
Las Vegas, NV 89102
Phone (702) 876-2525

NPI Registry JSON

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1952604027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 S DECATUR BLVD",
            "address_2": "116",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891028591",
            "telephone_number": "702-876-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 S DECATUR BLVD",
            "address_2": "116",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891028591",
            "telephone_number": "702-876-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLANCHARD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-13",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "BLANCHARD",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-876-2525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NV",
            "license": "0461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE NUMBER",
            "identifier": "0461",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; 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.