1. Home
  2. Directory
  3. Michigan
  4. Dearborn
  5. Dentist
  6. NPI Profile

DANIEL BLAZO D.D.S
NPI 1518316306
Dentist in Dearborn, MI

Active since June 13, 2016PECOS Enrolled
22100 OUTER DR, DEARBORN, MI 48124(313) 563-5855 Get Directions Write a Review

NPPES record last updated: June 8, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 8, 2020, Jun 13, 2016 (2 updates tracked since 2016).

About Daniel Blazo D.d.s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DANIEL BLAZO D.D.S (NPI 1518316306) is an individual dentist in Dearborn, Michigan, licensed in Michigan (2901021899) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518316306
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDANIEL BLAZOCredential: D.D.S
Location Address22100 OUTER DRDearborn, MI 48124-3932
Mailing Address22100 Outer DrDearborn, MI 48124-3932 · (313) 563-5855
Phone(313) 563-5855
Sole ProprietorNo
Enumeration DateJune 13, 2016
Last NPPES UpdateJune 8, 20202 updates tracked since enumeration
NPPES CertifiedJune 8, 2020
✔ NPI 1518316306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MI · 2901021899
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
22100 OUTER DR, Dearborn, MI 48124
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Daniel Blazo D.d.s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48124 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRIAN MICHAEL LONG D.D.S.
Dentist (General Practice)
22100 OUTER DR
DEARBORN, MI 48124
Wayne County (313) 563-5855
DR. GARY CLAUDE VERAGHEN D.D.S.
Dentist
22100 OUTER DR
DEARBORN, MI 48124
Wayne County (313) 563-5855
DANIEL R. BLAZO, DDS, PLLC
Clinic/Center (Dental)
22100 OUTER DR
DEARBORN, MI 48124
Wayne County (313) 563-5855

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 Daniel Blazo's NPI number?

The NPI number for Daniel Blazo is 1518316306. It was assigned to this individual provider in the NPPES registry on June 13, 2016.

Where is Daniel Blazo located?

Daniel Blazo practices at 22100 Outer Dr, Dearborn, MI 48124. The listed phone number is (313) 563-5855.

What is Daniel Blazo's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Daniel Blazo enrolled in Medicare?

Yes. Daniel Blazo is registered in the Medicare PECOS enrollment system.

What insurance does Daniel Blazo accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Delta Dental of Michigan and Guardian and 2 other insurers list Daniel Blazo 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 Daniel Blazo was last updated on June 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.