JAMES BLACKBURN (NPI# 1437579158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437579158 |
| Entity Type | Individual |
| Full Name | JAMES BLACKBURN |
| Practice Address |
5215 Fm 1463 700 Katy TX 77494 |
| Mailing Address |
5215 Fm 1463 #700 Katy TX 77494-5763 |
| Practice Telephone | 2817693095 |
| Mailing Telephone | 2817693095 |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2016-11-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
30904 | TX | 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 |
| 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 |
| 1417090903 | James William Blackburn | Dentist | 1449 Kimber Lane, Suite 103a, Evansville, IN 47715-4086 | 2007-02-14 |
| 1265428551 | James H. Blackburn | Psychiatry & Neurology | 913 S College Rd, Suite 102, Lafayette, LA 70503-3060 | 2005-09-22 |
| Street Address |
5215 FM 1463 700 |
| City | KATY |
| State | TX |
| Zip Code | 77494 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649880899 | Julie Dyan Meyers | Speech-Language Pathologist | 4747 Fm 1463 Suite 900, Katy, TX 77494 | 2020-08-03 |
| 1235763426 | Lucy J Pena | Technician | 28106 Sugarside Glen Dr, Katy, TX 77494 | 2020-02-26 |
| 1063042455 | Wonace LLC | Durable Medical Equipment & Medical Supplies | 2717 Commercial Blvd, E200, Katy, TX 77494 | 2020-01-24 |
| 1801431002 | Justin Lee Landers | Specialist/Technologist | 2818 Fair Chase, Katy, TX 77494 | 2019-11-12 |
| 1285276006 | Chrysalis Group LLC | Pharmacy | 1259 Fm 1463 Suite 700, Katy, TX 77494 | 2019-10-14 |
| 1033760400 | Aaron Moniotte | Pharmacist | 23331 Grand Reserve Dr, Katy, TX 77494 | 2019-09-26 |
| 1467001743 | Julie Hankinson | Technician | 4903 Surrey Park Circle, Katy, TX 77494 | 2019-09-09 |
| 1710532148 | Icome2u Nursing Providers Inc | Nurse Practitioner | 26307 Sundown Cove Lane, Katy, TX 77494 | 2019-08-02 |
| 1881252203 | Encompass Health Rehabilitation Hospital of Katy, LLC | Rehabilitation Hospital | 23331 Grand Reserve Drive, Katy, TX 77494 | 2019-05-31 |
| 1407312945 | Cvs Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 322 Cane Island Pkwy, Katy, TX 77494 | 2019-02-20 |
| Find all providers in zip 77494 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477175917 | Meredith Ann Williams | Dentist | 5215 Fm 1463 Rd Ste 700, Katy, TX 77494-7437 | 2020-05-06 |
| 1720543580 | Gustavo Salas Dds Ms Pllc | Dentist | 2720 N Mason Rd, Katy, TX 77449-4143 | 2019-02-06 |
| 1841719655 | Katie Corinne Bemis | Dentist | 22167 Westheimer Pkwy Ste 120, Katy, TX 77450-8301 | 2017-09-12 |
| 1336667633 | Hesed Orthodontics | Dentist | 2918 W Grand Pkwy N Ste 200, Katy, TX 77449-1993 | 2017-09-07 |
| 1205363082 | Smile Docs Orthodontics, P.C. | Dentist | 24526 Kingsland Blvd, Katy, TX 77494-3429 | 2017-05-11 |
| 1508172057 | Shad B Hanis | Dentist | 2830 Commercial Center Blvd Ste 101, Katy, TX 77494-6406 | 2010-08-22 |
| 1235392630 | Liana E Medina | Dentist | 10605 Spring Green Blvd., Ste. 300, Katy, TX 77494 | 2008-07-07 |
| 1346422730 | Manish Dhutia | Dentist | 21929 Highland Knolls Dr, Katy, TX 77450-5873 | 2007-11-28 |
| 1326234832 | Louis D Anderson II | Dentist | 21685 Kingsland Blvd, Katy, TX 77450-2512 | 2007-09-18 |
| 1235270653 | Myoung-soo Choi | Dentist | 25614 Oakton Springs Dr, Katy, TX 77494-8557 | 2007-02-09 |
| Find all providers in KATY | ||||
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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.