DR. JAMES WILLIAM BLACKBURN (NPI# 1417090903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417090903 |
| Entity Type | Individual |
| Full Name | DR. JAMES WILLIAM BLACKBURN |
| Credential | D.D.S. |
| Practice Address |
1449 Kimber Lane Suite 103a Evansville IN 47715-4086 |
| Practice Telephone | 8124029600 |
| Mailing Telephone | 8124029600 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
12010139A | IN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518337435 | James David Blackburn X | General Practice | 19499 State Highway 49, Jefferson, TX 75657-5251 | 2015-10-05 |
| 1437579158 | James Blackburn | Dentist | 5215 Fm 1463, 700, Katy, TX 77494 | 2014-04-21 |
| 1710230230 | James Edward Blackburn Jr. | Pharmacist | 830 W Broadway Ave, Jackson, WY 83001-8647 | 2012-10-22 |
| 1376543553 | James Allen Blackburn | Physician Assistant | 450 Medical Center Blvd, Suite 201, Webster, TX 77598 | 2005-07-28 |
| 1952306284 | James H Blackburn II | Specialist | 2500 Squalicum Pkwy Bldg 102, Bellingham, WA 98225-1856 | 2005-06-14 |
| 1033748413 | James Kevin Blackburn | Pharmacist | 4301 Lyons Rd, Miamisburg, OH 45342-6446 | 2020-04-07 |
| 1770994147 | James Allen Blackburn | Marriage & Family Therapist | 5750 Sunrise Blvd, Citrus Heights, CA 95610-7634 | 2014-05-19 |
| 1255623781 | James Rex Blackburn | Social Worker | 1740 E 17th St, Idaho Falls, ID 83404-6375 | 2011-05-02 |
| 1831492859 | James Howard Blackburn | Internal Medicine | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2010-12-14 |
| 1265428551 | James H. Blackburn | Psychiatry & Neurology | 913 S College Rd, Suite 102, Lafayette, LA 70503-3060 | 2005-09-22 |
| Street Address |
1449 KIMBER LANE SUITE 103A |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47715-4086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306948419 | Evansville Endodontics | Dentist | 1449 Kimber Lane, Ste 103a, Evansville, IN 47715 | 2006-09-01 |
| 1750424263 | Krieger Webb Brasseale | Dentist | 1449 Kimber Lane, Suite 103a, Evansville, IN 47715-4086 | 2007-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528585 | Shannon Allcron | Pharmacist | 6770 E. Virginia St., Evansville, IN 47715 | 2020-11-03 |
| 1609339910 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1201 Cross Pointe Place, Evansville, IN 47715 | 2019-04-12 |
| 1497229223 | Hubert Family Dentistry LLP | Dentist | 6225 E Columbia St., Evansville, IN 47715 | 2019-01-15 |
| 1083110373 | Fyi Healthcare, LLC | Registered Nurse | 12000 Highway 41 North, Evansville, IN 47715 | 2018-04-04 |
| 1962862755 | New Journeys Counseling Services, LLC | Community/Behavioral Health | 4929 River Wind Pointe Drive, Evansville, IN 47715 | 2016-03-07 |
| 1558702456 | Jennifer Hoelter | Pharmacist | 5000 E Virginia St, Walgreens District Office, Evansville, IN 47715 | 2013-07-09 |
| 1952649402 | Courtney Ingold | Music Therapist | 621 E Cullen Ave, Suite 118, Evansville, IN 47715 | 2013-01-17 |
| 1922378041 | Sherry A. Fisher | Counselor | 4929 Riverwind Pointe Dr Ste 102, Evansville, IN 47715 | 2012-01-05 |
| 1710275912 | Tonja Leana Winekauf | Nurse Practitioner | 6211 E Waterford Blvd, Evansville Health Care Center, Evansville, IN 47715 | 2011-07-21 |
| 1003083437 | Allcare Dental & Dentures of In PC | Dentist | 1031 N. Green River Rd., Suite 104, Evansville, IN 47715 | 2008-05-14 |
| Find all providers in zip 47715 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124233101 | William Bruce Poulsen | Dentist | 2709 Washington Ave, Evansville, IN 47714-2411 | 2007-05-11 |
| 1831284439 | Kool Smiles In-3, PC | Dentist | 400 E. Diamond Ave., Evansville, IN 47711-3713 | 2006-10-03 |
| 1306948419 | Evansville Endodontics | Dentist | 1449 Kimber Lane, Ste 103a, Evansville, IN 47715 | 2006-09-01 |
| 1538424023 | Evansville Endodontics, Inc. | Dentist | 7321 Eagle Crest Blvd, Evansville, IN 47715-8157 | 2012-07-10 |
| 1467600478 | Midwest Endodontics LLC | Dentist | 2709 Washington Ave, Suite 1, Evansville, IN 47714-2411 | 2008-09-03 |
| 1992914345 | Brent R Grafe | Dentist | 2709 Washington Ave, Evansville, IN 47714-2411 | 2007-05-22 |
| 1780892687 | Jonathan William Reitz | Dentist | 2709 Washington Ave, Evansville, IN 47714-2411 | 2007-05-21 |
| 1750424263 | Krieger Webb Brasseale | Dentist | 1449 Kimber Lane, Suite 103a, Evansville, IN 47715-4086 | 2007-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255954913 | Adam B Broady Dds Msd & Associates LLC | Dentist | 9002 N Meridian St Ste 201, Indianapolis, IN 46260-5350 | 2020-05-28 |
| 1891322558 | Core Endodontics | Dentist | 2206 State St Ste 100, New Albany, IN 47150-4952 | 2020-03-24 |
| 1083265433 | Fort Wayne Endodontics | Dentist | 9407 Illinois Rd, Fort Wayne, IN 46804 | 2019-09-26 |
| 1356816037 | West Indy Pippin Dental PC | Dentist | 8252 Rockville Rd, Indianapolis, IN 46214-3113 | 2018-10-09 |
| 1992299689 | East Washington Street Dental Indy, In, PC | Dentist | 9972 E Washington St, Indianapolis, IN 46229-3040 | 2018-06-18 |
| 1962940254 | Dcp of Indiana (castleton Square), P.C. | Dentist | 17535 Terry Lee Crossing, 200-b, Noblesville, IN 46060-2476 | 2017-02-07 |
| 1447559166 | Kool Smiles In-3, PC | Dentist | 3701 S Main St Ste A150, Elkhart, IN 46517-3140 | 2011-03-21 |
| 1780983726 | Kool Smiles In-3, PC | Dentist | 4315 Commerce Dr, Suite 310, Lafayette, IN 47905-3822 | 2011-03-16 |
| 1306072814 | Ashleigh Marie Rexford | Dentist | 3750 Guion Rd Ste 280, Indianapolis, IN 46222-1696 | 2009-06-10 |
| 1588810980 | Northside Endodontics, PC | Dentist | 1400 S Pilgrim Blvd, Yorktown, IN 47396-9250 | 2008-08-18 |
| Find all providers with the same taxonomy | ||||
| City | EVANSVILLE |
| Zip Code | 47715 |
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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.