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DR. JOSHUA LEON BLIMBAUM DMD
NPI 1912379926
Dentist in Jacksonville, FL

Active since October 29, 2015PECOS Enrolled
12058 SAN JOSE BLVD STE 102, JACKSONVILLE, FL 32223(904) 880-3131 Get Directions Write a Review

NPPES record last updated: October 18, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 18, 2018, Aug 20, 2016 (2 updates tracked since 2016).

About Dr. Joshua Leon Blimbaum Dmd NPPES

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

DR. JOSHUA LEON BLIMBAUM DMD (NPI 1912379926) is an individual dentist in Jacksonville, Florida, licensed in Florida (DN21484) and active in the NPI registry since October 2015. He is enrolled in Medicare PECOS and maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1912379926
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JOSHUA LEON BLIMBAUMCredential: DMD
Location Address12058 SAN JOSE BLVD STE 102Jacksonville, FL 32223-8669
Mailing Address12058 San Jose Blvd Ste 102Jacksonville, FL 32223-8669 · (954) 802-8061
Phone(904) 880-3131
Sole ProprietorNo
Enumeration DateOctober 29, 2015
Last NPPES UpdateOctober 18, 20182 updates tracked since enumeration
✔ NPI 1912379926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in FL · DN21484
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.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License DN21484 (FL), D009321 (AZ)
12058 SAN JOSE BLVD STE 102, Jacksonville, FL 32223
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Secondary Practice Location 1

Location 1The Carlson Group, 13241 Bartram Park Blvd #1700Jacksonville, FL 32258 · Phone (904) 262-8409

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Blue Cross and Blue Shield of Montana 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. Joshua Leon Blimbaum Dmd 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 32223 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.

JACKSONVILLE DENTISTRY PLLC
Clinic/Center (Dental)
12058 SAN JOSE BLVD STE 102
JACKSONVILLE, FL 32223
Duval County (904) 880-3131

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 Joshua Blimbaum's NPI number?

The NPI number for Joshua Blimbaum is 1912379926. It was assigned to this individual provider in the NPPES registry on October 29, 2015.

Where is Joshua Blimbaum located?

Joshua Blimbaum practices at 12058 San Jose Blvd Ste 102, Jacksonville, FL 32223. The listed phone number is (904) 880-3131.

What is Joshua Blimbaum's specialty?

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

Is Joshua Blimbaum enrolled in Medicare?

Yes. Joshua Blimbaum is registered in the Medicare PECOS enrollment system.

What insurance does Joshua Blimbaum accept?

Health plans from Ambetter Health, Ambetter of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Joshua Blimbaum 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 Joshua Blimbaum was last updated on October 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.