Steven Blackburn, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

23869 Issued in TX

Practice address

5000 Maple Ave
Dallas, TX 75235-8213

Phone

(214) 219-3719

NPI assigned

Feb 10, 2009

Last updated

Feb 10, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

State licenses

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.

• Metroplex Dental Care, PLLC

  • General Practice Dentistry
  • Dallas, TX
  • NPI 1093943789
  NPD (past)
• Metroplex Orthodontics, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Dallas, TX
  • NPI 1356579056
  NPD (past)

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

{
    "created_epoch": "1234224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234224000000",
    "number": "1366681611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 LBJ FWY",
            "address_2": "SUITE 944, ONE LINCOLN CENTRE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752401000",
            "telephone_number": "972-982-8490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 MAPLE AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752358213",
            "telephone_number": "214-219-3719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKBURN",
        "first_name": "STEVEN",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-10",
        "last_updated": "2009-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Christopher Black, MD
• Blackburn Management
• Blackburn Procurement LLC
• Kyle Blackburn, M.D.
• Raymond C Blackburn, MD
• Blackett & Smith PLLC
• Tashya A Blacklock, PA
• Blair Blackman, RN, CPNP
• Katriena Lashaun Blackman, L.V.N.
• Tierra Elonda Blackmon

• General Practice Dentistry in Dallas, TX
• Providers in Dallas, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2009; 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.