DR. BRIAN CHRIS BLALOCK (NPI# 1437286580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437286580 |
Entity Type | Individual |
Full Name | DR. BRIAN CHRIS BLALOCK |
Credential | D.D.S., M.D. |
Practice Address |
145 Cedar Rd Suite B Vista CA 92083-5103 |
Practice Telephone | 7607248891 |
Practice Fax Number | 7607247950 |
Mailing Telephone | 7607248891 |
Mailing Fax Number | 7607247950 |
Enumeration Date | 2007-02-27 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
OMS23 | CA | Dental Providers |
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
A06347 | CA | Dental Providers |
Street Address |
145 CEDAR RD SUITE B |
City | VISTA |
State | CA |
Zip Code | 92083-5103 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477661783 | Robert P Mohr | Dentist | 145 Cedar Rd, Ste A, Vista, CA 92083-5103 | 2006-08-27 |
1861882086 | S Tchon & Da Smith Dds Md Inc | Dentist | 145 Cedar Rd, Ste B, Vista, CA 92083-5103 | 2015-01-26 |
1609103969 | Microendodontics | Dentist | 145 Cedar Rd, Ste C, Vista, CA 92083-5103 | 2009-11-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114496882 | Claire Louise Marsden | Speech-Language Pathologist | 1626 Fawley Lane, Vista, CA 92083 | 2018-11-24 |
1861975336 | Shawna Corn | Counselor | 216 W. Los Angeles Dr., Vista, CA 92083 | 2018-09-11 |
1164916433 | Sindia Zamarripa | Case Manager/Care Coordinator | 139 East Dr, Vista, CA 92083 | 2018-06-19 |
1184140295 | Rosa Gema Pamatz | Counselor | 216 West Los Angeles Dr, Vista, CA 92083 | 2017-08-21 |
1528452521 | Vincetta Cox | Nursing Care | 770 Sycamore Avenue, 122-178, Vista, CA 92083 | 2015-03-27 |
1922367739 | Oriental Medical Arts & Acupuncture | Acupuncturist | 544 W Vista Way, Vista, CA 92083 | 2012-05-14 |
1861623001 | Dawn Lindshield | Counselor | 550 W Vista Way Ste 408, Vista, CA 92083 | 2009-08-06 |
1932336534 | Amyjane Dill | Student in an Organized Health Care Education/Training Program | 216 W Los Angeles Drive, New Haven Youth Family Services, Vista, CA 92083 | 2009-06-22 |
1821239054 | Marisela Wong | Pharmacist | 1510 N. Santa Fe Avenue, Vista, CA 92083 | 2009-03-18 |
1235389602 | Erik Sven Peterson | Counselor | 155 W. Bobier, Vista, CA 92083 | 2008-09-23 |
Find all providers in zip 92083 |
Taxonomy Code | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Surgery |
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841308947 | Scott S Peters Dds Professional Corporation | Dentist | 1925 W Vista Way, Vista, CA 92083-6020 | 2006-08-28 |
1861882086 | S Tchon & Da Smith Dds Md Inc | Dentist | 145 Cedar Rd, Ste B, Vista, CA 92083-5103 | 2015-01-26 |
1013285436 | Brian Mudd Dds Pdc | Dentist | 3211 Business Park Dr, Suite A, Vista, CA 92081-8529 | 2011-12-13 |
1649432832 | Nathan Frederick Turley | Dentist | 1205 W Vista Way, Vista, CA 92083-6227 | 2008-06-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942807979 | Ayed Hawatmeh Dds Inc | Dentist | 322 E Foothill Blvd, Pomona, CA 91767 | 2020-10-02 |
1114533064 | Alexander V. Antipov, D.d.s., Inc. | Dentist | 911 Reserve Drive, Suite 150, Roseville, CA 95678 | 2020-09-16 |
1609493170 | Amir Haghshenas Dds | Dentist | 3880 S Bascom Ave Ste 213, San Jose, CA 95124-2675 | 2020-07-01 |
1316568900 | Beech & Reid Dental Partnership | Dentist | 464 E Calaveras Blvd Ste B3, Milpitas, CA 95035-5412 | 2020-05-05 |
1518506773 | Francisco Suarez, Dds Inc. | Dentist | 4606 Hollywood Blvd Ste A, Los Angeles, CA 90027-5462 | 2020-01-04 |
1831748839 | Slate Dental Corporation | Dentist | 6512 Lonetree Blvd Ste 100, Rocklin, CA 95765-5883 | 2019-09-11 |
1255980140 | Dr Maloux Macasaet Saguin Dental Corporation | Dentist | 9800 Topanga Canyon Blvd Ste J, Chatsworth, CA 91311-4075 | 2019-09-04 |
1891342267 | Amrollahie and Riman Dental Partnership | Dentist | 1442 Irvine Blvd Ste 225, Tustin, CA 92780-3846 | 2019-08-21 |
1548821572 | Hoang Dental Corporation | Dentist | 1356 W Valley Pkwy Ste J, Escondido, CA 92029-2138 | 2019-06-20 |
1073173860 | Omfs Care Center Partners | Dentist | 215 N Fresno St Ste 490, Fresno, CA 93701-0000 | 2019-06-14 |
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.