Organization Active NPI

N Blanco DDS Dental Corporation Inc

  • Dental Clinic/Center
  • La Puente, CA
National Provider Identifier
1952947780
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
N BLANCO DDS DENTAL CORPORATION INC
Practice address
1431 N Hacienda Blvd
La Puente, CA 91744-1133
Phone
(626) 919-2315
Fax
(626) 919-5892
NPI assigned
Nov 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2020

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

Authorized official

Name
Nubia A Blanco, DDS
Title
Owner
Phone
(626) 919-2315

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1431 N Hacienda Blvd
La Puente, CA 91744-1133

Mailing address

1431 N Hacienda Blvd
La Puente, CA 91744-1133
Phone (626) 919-2315

Other names 1

  • N Blanco DDS Dental Corporation Inc Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1574812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589328000000",
    "number": "1952947780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 N HACIENDA BLVD",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917441133",
            "telephone_number": "626-919-2315",
            "fax_number": "626-919-5892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 N HACIENDA BLVD",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917441133",
            "telephone_number": "626-919-2315",
            "fax_number": "626-919-5892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N BLANCO DDS DENTAL CORPORATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-27",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A",
        "authorized_official_last_name": "BLANCO",
        "authorized_official_first_name": "NUBIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-919-2315",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N Blanco DDS Dental Corporation Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "N Blanco DDS Dental Corporation Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in La Puente, CA

Sources for this page

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