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ERIC BLASINGAME DDS, MS, INC
NPI 1720227812
Dentist - Periodontics in Redding, CA

Active since February 12, 2009CLIA 05D2269433 · Waiver
384 HARTNELL AVE STE A, REDDING, CA 96002(530) 241-3302(530) 241-3321 Get Directions Write a Review

NPPES record last updated: December 20, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 20, 2019, Dec 12, 2019 (2 updates tracked since 2019).

About Eric Blasingame Dds, Ms, Inc NPPES

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

ERIC BLASINGAME DDS, MS, INC (NPI 1720227812), doing business as Russell C. Holpuch Dds, Inc, is a healthcare organization registered as a periodontics in Redding, California and active in the NPI registry since February 2009. The organization holds a CLIA Waiver certificate valid through September 25, 2026 and lists Eric M. Blasingame, President/ Periodontist, as its authorized official.

NPPES Registry Identity

NPI1720227812
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameERIC BLASINGAME DDS, MS, INC
Location Address384 HARTNELL AVE STE ARedding, CA 96002-1884
Mailing Address384 Hartnell Ave Ste ARedding, CA 96002-1884 · (530) 241-3302 · Fax (530) 241-3321
Phone(530) 241-3302
Fax(530) 241-3321
Organization SubpartNo
Authorized OfficialEric M. BlasingamePresident/ Periodontist · (530) 241-3302
Enumeration DateFebruary 12, 2009
Last NPPES UpdateDecember 20, 20192 updates tracked since enumeration
✔ NPI 1720227812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition
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.
384 HARTNELL AVE STE A, Redding, CA 96002
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Other Names 1

Former Legal Business NameRussell C. Holpuch Dds, Inc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2269433

Eric Blasingame Dds, Ms, Inc Team Perio · Redding, CA
Active · expires Sep 25, 2026
CLIA Number05D2269433
Laboratory TypePractitioner Other
Certificate Effective DateSeptember 26, 2024
Certificate Expiration DateSeptember 25, 2026
Laboratory DirectorEric Blasingame
Laboratory Phone(530) 241-3302
Laboratory LocationEric Blasingame Dds, Ms, Inc Team Perio384 Hartnell Ave, Redding, CA 96002
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. WILLIAM LISKA DDS
Dentist (Periodontics)
384 HARTNELL AVE STE A
REDDING, CA 96002
Shasta County (530) 241-3302

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 Eric Blasingame Dds, Ms, Inc's NPI number?

The NPI number for Eric Blasingame Dds, Ms, Inc is 1720227812. It was assigned to this organization in the NPPES registry on February 12, 2009. The provider was formerly known as Russell C. Holpuch Dds, Inc.

Where is Eric Blasingame Dds, Ms, Inc located?

Eric Blasingame Dds, Ms, Inc is located at 384 Hartnell Ave Ste A, Redding, CA 96002. The listed phone number is (530) 241-3302.

What is Eric Blasingame Dds, Ms, Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Does Eric Blasingame Dds, Ms, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2269433) is associated with this NPI, valid through September 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Eric Blasingame Dds, Ms, Inc was last updated on December 20, 2019. 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.