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DR. BRYAN KEITH BLANKENSHIP D.D.S.
NPI 1750481131
Dentist in Palm Coast, FL

Active since September 25, 2006PECOS Enrolled
25 PINE CONE DR STE 1, PALM COAST, FL 32164(386) 445-7671 Get Directions Write a Review

NPPES record last updated: December 4, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Dec 4, 2020, Sep 3, 2020 (2 updates tracked since 2020).

About Dr. Bryan Keith Blankenship D.d.s. NPPES

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

DR. BRYAN KEITH BLANKENSHIP D.D.S. (NPI 1750481131) is an individual dentist in Palm Coast, Florida, licensed in Florida (16941) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Ponte Vedra Beach.

NPPES Registry Identity

NPI1750481131
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. BRYAN KEITH BLANKENSHIPCredential: D.D.S.
Location Address25 PINE CONE DR STE 1Palm Coast, FL 32164-8424
Mailing Address25 Pine Cone Dr Ste 1Palm Coast, FL 32164-8424 · (386) 445-7671
Phone(386) 445-7671
Sole ProprietorNo
Enumeration DateSeptember 25, 2006
Last NPPES UpdateDecember 4, 20202 updates tracked since enumeration
NPPES CertifiedDecember 4, 2020
✔ NPI 1750481131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in FL · 16941
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.
25 PINE CONE DR STE 1, Palm Coast, FL 32164
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Secondary Practice Location 1

Location 15000 Sawgrass Village Cir, Suite 23Ponte Vedra Beach, FL 32082-5045 · Phone (904) 280-0070 · Fax (904) 280-0079

Other Identifiers 1

Other203294786FL · Tax Identification Number

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)

Dr. Bryan Keith Blankenship 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 32164 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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

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

FERNANDA DANTE MARTINEZ DE FREITAS DDS
Dentist (Pediatric Dentistry)
25 PINE CONE DR STE 1
PALM COAST, FL 32164
Flagler County (386) 346-8033

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 Bryan Blankenship's NPI number?

The NPI number for Bryan Blankenship is 1750481131. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Bryan Blankenship located?

Bryan Blankenship practices at 25 Pine Cone Dr Ste 1, Palm Coast, FL 32164. The listed phone number is (386) 445-7671.

What is Bryan Blankenship's specialty?

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

Is Bryan Blankenship enrolled in Medicare?

Yes. Bryan Blankenship is registered in the Medicare PECOS enrollment system.

What insurance does Bryan Blankenship 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, Guardian and Humana and 3 other insurers list Bryan Blankenship 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 Bryan Blankenship was last updated on December 4, 2020. 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.