DR. JONATHAN ANDREW BLANSETT (NPI# 1376821181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376821181 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN ANDREW BLANSETT |
| Credential | DDS, MS |
| Practice Address |
2522 S Pinnacle Hills Pkwy Ste 102 Rogers AR 72758-1415 |
| Practice Telephone | 4792822812 |
| Practice Fax Number | 4799368660 |
| Mailing Telephone | 4792822812 |
| Mailing Fax Number | 4793400068 |
| Enumeration Date | 2011-07-27 |
| Last Update Date | 2019-03-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 27107 | TX | Dental Providers |
| N | 1223P0300X |
Dentist Specialization: Periodontics |
3958 | AR | Dental Providers |
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
3958(DDS); 37(PE | AR | Dental Providers |
| Street Address |
2522 S PINNACLE HILLS PKWY STE 102 |
| City | ROGERS |
| State | AR |
| Zip Code | 72758-1415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417588690 | Premier Hospitalists of Nwa, Pllc | Hospitalist | 4313 S Pleasant Crossing Blvd, Rogers, AR 72758 | 2020-01-28 |
| 1447893235 | Kelsey Elizabeth Sutton | Speech-Language Pathologist | 2100 West Perry Rd, Rogers, AR 72758 | 2019-10-24 |
| 1447700299 | Shannon Kaima | Physician Assistant | 5900 W Stoney Brook Rd Apt 14207, Rogers, AR 72758 | 2016-10-05 |
| 1801345426 | The Exclusive Eye, Pllc | Optometrist | 5100 W Pauline Whitaker Parkway, 107, Rogers, AR 72758 | 2016-09-23 |
| 1780063909 | Nicholas Honea | Nurse Anesthetist, Certified Registered | 4600 Centre Court, Rogers, AR 72758 | 2015-05-20 |
| 1811388945 | Amanda M Hawes | Physician Assistant | 1000 S. 52nd Street, Rogers, AR 72758 | 2015-02-11 |
| 1316354087 | Natalie Horine | Chiropractor | 4305 S Pleasant Crossing Blvd Ste 102, Rogers, AR 72758 | 2014-07-15 |
| 1205248903 | Clyde K. Tempel | Registered Nurse | 2100 W. New Hope Rd. #1804, Rogers, AR 72758 | 2014-05-29 |
| 1548692445 | Becky Tadlock Ross | Pharmacist | 1766 West Laurel, Rogers, AR 72758 | 2013-08-01 |
| 1497190797 | Medical Associates of Northwest Arkansas Pa | Pediatrics | 3730 S Pinnacle Hills Pkwy Ste 3, Rogers, AR 72758 | 2013-05-01 |
| Find all providers in zip 72758 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154793982 | White & Blansett Periodontics & Dental Implants | Dentist | 201 N 34th St, Rogers, AR 72756-0352 | 2015-10-20 |
| 1154496297 | Charles Adrian White | Dentist | 201 N 34th, Rogers, AR 72756 | 2006-11-22 |
| 1447712856 | Dr. Patrick Driver, Dds, Pllc | Dentist | 201 N 34th St, Rogers, AR 72756-0352 | 2019-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790819233 | Ronald Howell Follis | Dentist | 800 W B St, Russellville, AR 72801-3610 | 2007-03-15 |
| 1295862357 | Jerry E. Bradley | Dentist | 1225 Breckenridge Drive, Suite 110, Little Rock, AR 72205 | 2007-02-27 |
| 1407907165 | Peder J Jensen | Dentist | 2501 Crestwood Rd Ste 102, North Little Rock, AR 72116-7615 | 2007-01-16 |
| 1780772962 | Michael L. Thompson | Dentist | 2737 Paula Dr, Jonesboro, AR 72404-8017 | 2006-10-11 |
| 1497852495 | Michael Curry | Dentist | 1831 N Green Acres Rd, Fayetteville, AR 72703-2615 | 2006-09-20 |
| 1225134828 | Charles J. Antonini, Dds, Ms | Dentist | 200 Mcauley Ct, Hot Springs, AR 71913-6312 | 2006-09-15 |
| 1497762090 | Harry Hoffman Morgan | Dentist | 3800 Rogers Ave Ste 3, Fort Smith, AR 72903-3074 | 2006-08-03 |
| 1336163542 | Donald Paul Callan | Dentist | 10319 W. Markham St., Suite 300, Little Rock, AR 72205-4556 | 2006-07-27 |
| 1689626269 | Stephen A Rappeport | Dentist | 304 N Greenwood Ave, Fort Smith, AR 72901-3454 | 2006-05-16 |
| 1568442788 | John Edward Svendsen | Dentist | 16101 Lagrande Dr, Suite 101, Little Rock, AR 72223-9140 | 2006-01-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.