Terry D. Blackburne, DDS, MSD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

3554 Issued in OK

Practice address

707 24TH Ave SW
Suite 202
Norman, OK 73069-3987

Phone

(405) 329-6106

Fax

(405) 329-6107

NPI assigned

Jan 25, 2008

Last updated

Jan 25, 2008By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Terry D. Blackburne, DDS, MSD, Inc

  • Periodontics
  • Norman, OK
  • NPI 1326104464
  NPD (past) Authorized official
• Norman Periodontics & Dental Implants, PC

  • Periodontics
  • Norman, OK
  • NPI 1356501928
  NPD (past)

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201219200000",
    "number": "1265619886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 24TH AVE SW",
            "address_2": "SUITE 202",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730693987",
            "telephone_number": "405-329-6106",
            "fax_number": "405-329-6107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 24TH AVE SW",
            "address_2": "SUITE 202",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730693987",
            "telephone_number": "405-329-6106",
            "fax_number": "405-329-6107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKBURNE",
        "first_name": "TERRY",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-25",
        "last_updated": "2008-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "OK",
            "license": "3554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cady Jalynn Black
• Jason T Black
• Lisa Myers Black, PH.D.
• Sara Blackard
• Parker Blackburn
• Abigail Blackledge
• Jordan Blackwell
• Renee Maxine Blackwell, LPC
• Terra Jo Blackwell, MA, LMFT
• Jean Renee Blackwood, M.A., LMFT CANDIDATE

• Periodontics in Norman, OK
• Providers in Norman, OK by specialty
• Periodontics in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; 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.