Active NPI
Alexia Lauren Blackhurst, DMD
- Dentist
- Norfolk, VA
National Provider Identifier
1023668597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS042428
- Practice address
- 1647 Admiral Taussig Blvd
Norfolk, VA 23511-2803 - Phone
- (757) 953-8635
- NPI assigned
- Sep 17, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS042428 | PA | Primary |
Addresses
Primary practice location
1647 Admiral Taussig Blvd
Norfolk, VA 23511-2803
Mailing address
7 Elderberry CT
Hockessin, DE 19707-2131
Phone (302) 507-9089
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS042428 | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568678400000",
"number": "1023668597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 ELDERBERRY CT",
"city": "HOCKESSIN",
"state": "DE",
"postal_code": "197072131",
"telephone_number": "302-507-9089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1647 ADMIRAL TAUSSIG BLVD",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235112803",
"telephone_number": "757-953-8635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACKHURST",
"first_name": "ALEXIA",
"middle_name": "LAUREN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-17",
"last_updated": "2019-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS042428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.