JUSTIN EDWARD BLAZEJEWSKI DMD
NPI 1154996700
Student in an Organized Health Care Education/Training Program in Las Vegas, NV
About Justin Edward Blazejewski Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUSTIN EDWARD BLAZEJEWSKI DMD (NPI 1154996700) is an individual student in an organized health care education/training program in Las Vegas, Nevada and active in the NPI registry since May 2021. He has opted out of Medicare through July 13, 2028.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Justin Edward Blazejewski Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 13, 2026 through July 13, 2028.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Justin Blazejewski's NPI number?
The NPI number for Justin Blazejewski is 1154996700. It was assigned to this individual provider in the NPPES registry on May 26, 2021.
Where is Justin Blazejewski located?
Justin Blazejewski practices at 1860 E Charleston Blvd, Las Vegas, NV 89104. The listed phone number is (702) 779-3668.
What is Justin Blazejewski's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Justin Blazejewski enrolled in Medicare?
No. Justin Blazejewski has opted out of Medicare through July 13, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does Justin Blazejewski accept?
Health plans from Ambetter from Arizona Complete Health, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana and 1 other insurer list Justin Blazejewski as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Justin Blazejewski was last updated on May 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Justin Edward Blazejewski, DMD · NPI 1154996700
Student in an Organized Health Care Education/Training Program provider in Las Vegas, Nevada. Individual provider, active in the CMS NPPES registry since May 26, 2021.
## Identity
- **NPI:** 1154996700 (Entity type: Individual)
- **Enumerated:** May 26, 2021
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1860 E CHARLESTON BLVD, Las Vegas, NV 89104-1949
- **Phone:** (702) 779-3668
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through July 13, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** May 26, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1154996700) · Data from the CMS NPPES public registry.