Blackwell Dentistry LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

5291 Issued in AZ

Legal business name

BLACKWELL DENTISTRY LLC

Practice address

600 S Dobson Rd Ste C25
Chandler, AZ 85224-5690

Phone

(480) 726-8464

Fax

(480) 726-8465

NPI assigned

May 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Chad R Blackwell, DMDNPI 1780632745

Title

Dentist Owner

Phone

(480) 726-8464

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chad Richard Blackwell, DMD

  • General Practice Dentistry
  • Chandler, AZ
  • NPI 1780632745
  NPD (past) Authorized official

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164639100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S DOBSON RD STE C25",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245690",
            "telephone_number": "480-726-8464",
            "fax_number": "480-726-8465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S DOBSON RD STE C25",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245690",
            "telephone_number": "480-726-8464",
            "fax_number": "480-726-8465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKWELL DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLACKWELL",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "480-726-8464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AZ",
            "license": "5291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Black Family and Child Services Inc
• Black Family and Child Services Inc
• Ashley Nicole Black
• Baylee Blackhurst
• Nathan Blackhurst, PA
• Chad Richard Blackwell, DMD
• Sheri Lynn Blair-Scovill, COTA/L
• Brandon Blair, DPT
• Christina Blair, LPC
• Jessica Ann Blanco, MD

• Dental Clinic/Center in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.