H. Dwaine Blakeman, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4312 Issued in KY

Practice address

1208 East Byers Ave
Owensboro, KY 42303-7558

Phone

(270) 926-3838

Fax

(270) 926-0452

NPI assigned

Aug 29, 2006

Last updated

Dec 20, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324339200000",
    "number": "1144338963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 SCHERM RD",
            "address_2": "DENTAL ARTS BUILDING",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423016022",
            "telephone_number": "270-926-9907",
            "fax_number": "270-926-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 EAST BYERS AVE",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423037558",
            "telephone_number": "270-926-3838",
            "fax_number": "270-926-0452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKEMAN",
        "first_name": "H.",
        "middle_name": "DWAINE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2011-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "4312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60043122",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William S Black, MD
• Holly Blackburn, LPCA
• Jack C Blackstone, Jr., M.D.
• Paighten Blades, OTR/L
• Sal Blake, PA-C
• Courtney Lynn Blandford, NP
• Jonathan Blandford, DO
• Lee Ann Blandford, SLP
• Nanette Ann Blandford, SPEECH THERAPIST
• Bliss United Dental Services Dba Owensboro Family Dentistry

• General Practice Dentistry in Owensboro, KY
• Providers in Owensboro, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.