Individual provider Active NPI

Robert M Blitzer, DDS

  • Prosthodontics
  • Milford, DE
National Provider Identifier
1992020390
Registry record updated Feb 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
DE 1092 Issued in DE
Practice address
214 S Walnut St
Milford, DE 19963-1958
Phone
(302) 422-8771
NPI assigned
Mar 29, 2010
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DE 1092DEMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
N S Steward Jr DDS PA Past Accepting new patients
Norman S. Steward Jr., DDS PA Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X DE 1092 DE Primary

Addresses

NPPES NPI Registry

Primary practice location

214 S Walnut St
Milford, DE 19963-1958

Mailing address

41 King Henry CT
Dover, DE 19901-6542
Phone (302) 422-9791

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
DE 1092OtherDESTATE OF DE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 19, 2014.

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392768000000",
    "number": "1992020390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 KING HENRY CT",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199016542",
            "telephone_number": "302-422-9791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 S WALNUT ST",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199631958",
            "telephone_number": "302-422-8771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLITZER",
        "first_name": "ROBERT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-29",
        "last_updated": "2014-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "DE",
            "license": "DE 1092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF DE",
            "identifier": "DE 1092",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; 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.