BLACKWELL DENTISTRY LLC (NPI# 1164639100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164639100 |
| Entity Type | Organization |
| Organization Name | BLACKWELL DENTISTRY LLC |
| Practice Address |
600 S Dobson Rd Ste C25 Chandler AZ 85224-5690 |
| Practice Telephone | 4807268464 |
| Practice Fax Number | 4807268465 |
| Mailing Telephone | 4807268464 |
| Mailing Fax Number | 4807268465 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. CHAD R BLACKWELL (DENTIST OWNER) |
| Authorized Official Telephone | 4807268464 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
5291 | AZ | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | BLACKWELL DENTISTRY LLC | 1520 S Main St, Blackwell, OK 74631 |
| Street Address |
600 S DOBSON RD STE C25 |
| City | CHANDLER |
| State | AZ |
| Zip Code | 85224-5690 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245878859 | Optum Infusion Services 308, LLC | Durable Medical Equipment & Medical Supplies | 460 S. Benson Lane, Ste. 11-12, Chandler, AZ 85224 | 2019-12-13 |
| 1073172037 | Brennan Allen | Dentist | 610 N Alma School Rd Ste 4, Chandler, AZ 85224 | 2019-06-12 |
| 1518525237 | Rachel Kelly Mador-house | Genetic Counselor, MS | 685 & 695 S Dobson Rd, Chandler, AZ 85224 | 2019-05-29 |
| 1780249748 | Julia Solomon, Md | Obstetrics & Gynecology | 1725 West Frye Road, Suite 120, Chandler, AZ 85224 | 2019-05-06 |
| 1487118717 | Litonrx LLC | Pharmacy | 2080 N. Dobson Road, Suite 3, Chandler, AZ 85224 | 2019-01-31 |
| 1528556495 | Stone Med, LLC | Physical Medicine & Rehabilitation | 77 S Dobson Rd., Phoenix, AZ 85224 | 2018-04-26 |
| 1144739079 | Four Peaks Anesthesia Consultants, LLC | Anesthesiology | 1900 W Chandler Blvd Ste 15-257, Chandler, AZ 85224 | 2017-09-22 |
| 1275061350 | Whitney Carter | Behavioral Analyst | 3200 N Dobson Rd Ste F-1, Chandler, AZ 85224 | 2017-06-01 |
| 1528509171 | Angela M. Navarrete | Specialist/Technologist, Other | 1586 W Maggio Way Apt 2005, 2005, Chandler, AZ 85224 | 2017-03-15 |
| 1063958288 | Glover Family Medical, LLC | Clinic/Center | 901 S Alma School Rd, Apt. 20, Chandler, AZ 85224 | 2017-01-11 |
| Find all providers in zip 85224 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205474871 | Devmont Dental, LLC | Clinic/Center | 3230 S Gilbert Rd Ste 4, Chandler, AZ 85286-5110 | 2019-12-14 |
| 1881249191 | Mclaws Dental Plc | Clinic/Center | 10 S Kyrene Rd Ste 3, Chandler, AZ 85226-4524 | 2019-08-04 |
| 1841760899 | Valley Implant Centers | Clinic/Center | 4949 S Arizona Ave Ste 2, Chandler, AZ 85248-2714 | 2018-12-03 |
| 1649775842 | Agave Family Dental Pllc | Clinic/Center | 855 E Warner Rd Ste 104, Chandler, AZ 85225-0998 | 2018-03-28 |
| 1700245974 | Ray Road Dmso, LLC | Clinic/Center | 2900 W Ray Rd Ste 3, Chandler, AZ 85224-7342 | 2016-02-16 |
| 1669619953 | Brighton Dental Health, Inc. | Clinic/Center | 2201 E Pecos Rd Ste 2, Chandler, AZ 85225-6141 | 2009-01-08 |
| 1699840199 | James A Guinn Dmd PC | Clinic/Center | 3731 S Vista Pl, Chandler, AZ 85248-5111 | 2006-11-21 |
| 1699385310 | Peace of Mind Dental Pllc | Clinic/Center | 936 W Chandler Blvd Ste 2, Chandler, AZ 85225-2531 | 2020-08-06 |
| 1316416621 | J. Grant Johansen Dmd Pllc | Clinic/Center | 3800 W Ray Rd Ste 11, Chandler, AZ 85226-5940 | 2018-11-15 |
| 1932694817 | Value Dental Dmso LLC | Clinic/Center | 2750 E Germann Rd, Chandler, AZ 85286-1403 | 2018-06-25 |
| Find all providers in CHANDLER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.