IndividualActive
Samuel Bleakley, D.D.S.
NPI 1023034204 · General Practice Dentistry · Modesto, CA
Samuel Bleakley, D.D.S. is a General Practice Dentistry provider in Modesto, CA (NPI 1023034204).
Provider details
- NPI number
- 1023034204
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 19413 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1601 Mchenry Village Way Ste 1
Modesto, CA 95350-4338
Phone: (209) 577-1313
Fax: (209) 577-8584
Street-level locationGet directions
Mailing address
1601 Mchenry Village Way Ste 1
Modesto, CA 95350-4338
Registry dates
- Enumerated
- 2006-07-14
- Last updated
- 2007-07-08
Frequently asked questions
- What is Samuel Bleakley's NPI number?
- Samuel Bleakley's National Provider Identifier (NPI) is 1023034204, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samuel Bleakley's specialty?
- Samuel Bleakley is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Samuel Bleakley located?
- Samuel Bleakley's practice location on file with NPPES is 1601 Mchenry Village Way Ste 1, Modesto, CA 95350-4338.
- What is Samuel Bleakley's phone number?
- The practice phone number listed in the NPPES registry for Samuel Bleakley is (209) 577-1313.
- Is Samuel Bleakley's NPI active?
- Yes — Samuel Bleakley's NPI (1023034204) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.