Byron Michael Blasco, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

2283 Issued in NV

Practice address

9940 W Flamingo Rd Ste 105
Las Vegas, NV 89147-8553

Phone

(702) 933-1300

Fax

(844) 662-6121

NPI assigned

Oct 31, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Byron M Blasco D M D LTD

  • General Practice Dentistry
  • Las Vegas, NV
  • NPI 1689370496
  NPD Authorized official
• Dr Anna Shagharyan, DMD, PC

  • Preferred Provider Organization
  • Las Vegas, NV
  • NPI 1366823973
  NPD (past)

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1992881171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9940 W FLAMINGO RD STE 240",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478386",
            "telephone_number": "702-933-1300",
            "fax_number": "844-662-6121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9940 W FLAMINGO RD STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478553",
            "telephone_number": "702-933-1300",
            "fax_number": "844-662-6121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLASCO",
        "first_name": "BYRON",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "2283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEVADA STATE DENTAL LICENSE",
            "identifier": "2283",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trenton Blanton II
• Aleksandra Blanusa
• Sonya L Blaquiere, BC-HIS
• Shanela Blas-Catacutan
• Noelani Blas
• Samantha Blasco
• Lesie Blascoe, M.ED, MBA
• Haley Amanda Blattel
• Kyla Blaydes
• Crystina Louise Blaze

• Dentist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Dentist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; 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.