Blaire Allyn Ersteniuk, DDS MS

Primary specialty

DentistTaxonomy code 122300000X

License

6184 Issued in OK

Practice address

609 S Kelly Ave Ste A1
Edmond, OK 73003-5696

Phone

(405) 509-8932

Fax

(405) 531-0808

NPI assigned

Mar 21, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Blaire Bowers Professional name

Medicare fee-for-service enrollment

Enrolled in OK

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

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kes PLLC

  • Periodontics
  • Edmond, OK
  • NPI 1720815863
  NPD

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

{
    "created_epoch": "1269129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1962726851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 S KELLY AVE STE A1",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730035696",
            "telephone_number": "405-509-8932",
            "fax_number": "405-531-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 S KELLY AVE STE A1",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730035696",
            "telephone_number": "405-509-8932",
            "fax_number": "405-531-0808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1414 N Kennedy Ave",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Shawnee",
            "state": "OK",
            "postal_code": "748014700",
            "country_code": "US",
            "telephone_number": "405-214-0404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERSTENIUK",
        "first_name": "BLAIRE",
        "middle_name": "ALLYN",
        "credential": "DDS MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-21",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "OK",
            "license": "6184",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "6184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BLAIRE",
            "last_name": "BOWERS",
            "credential": "DDS MS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kayla Enloe, DPT
• Larry J Ensz, DO
• Sonia Catherine Ensz, P.T.A., C.L.T.
• Emily Jordan Entwistle
• Joel William Erickson, ARNP
• Gabriela Escobar
• Janet Lee Eskridge, RPT
• Monica Esparza, ARNP, DNP
• Jacqueline Espindola
• Michael Bruce Etzler

• Dentist in Edmond, OK
• Providers in Edmond, OK by specialty
• Dentist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.