npidexNPI registry + Medicare data

RANDALL BLAZIC, DDS MD

Oral and Maxillofacial Surgery (Dentist) · GOODYEAR, AZ

Individual Active Opted out of Medicare NPI 1497843445

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Oral and Maxillofacial Surgery (Dentist)1223S0112X✓D5976AZ
Oral & Maxillofacial Surgery (D.M.D.)204E00000XM31657AZ

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
No
Hospice
Yes

Opted out of Medicare (Oral Surgery), effective 2016-02-15 through 2028-02-15.

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.