Joshua Dolphus Blackmon, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8415 Issued in KY

Practice address

919 Chambers Blvd
Ste a
Bardstown, KY 40004-2573

Phone

(502) 348-6404

Fax

(502) 348-6342

NPI assigned

Aug 30, 2006

Last updated

Oct 10, 2018By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bloomfield Dental Care, PLLC

  • General Practice Dentistry
  • Bloomfield, KY
  • NPI 1437297348
  NPD Authorized official
• Osbourne Family Dental

  • Dental Clinic/Center
  • Bardstown, KY
  • NPI 1023837804
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539129600000",
    "number": "1245340298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 CHAMBERS BLVD",
            "address_2": "STE A",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400042573",
            "telephone_number": "502-348-6404",
            "fax_number": "502-348-6342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 CHAMBERS BLVD",
            "address_2": "STE A",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400042573",
            "telephone_number": "502-348-6404",
            "fax_number": "502-348-6342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKMON",
        "first_name": "JOSHUA",
        "middle_name": "DOLPHUS",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2018-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "8415",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "8415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100169660",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina L Benningfield, OT
• Dalton Berry
• Bickett and Associates
• Robert Newman Bickett, PSY. D.
• Bio-Medical Applications of Kentucky, Inc. (Fresenius Medical Care of Bardstown)
• Lindsay B Blackmon, MD
• Pamela Gail Blaine, LMT
• Jessica Rae Blair, LMT
• Mary Angela Blair, MHA
• William Blake, PMHNP-BC

• General Practice Dentistry in Bardstown, KY
• Providers in Bardstown, 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 Oct 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.