Active NPI
Caleb Anthony Blackhurst, DDS
- Dentist
- Tacoma, WA
National Provider Identifier
1427979343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 14288324-9926
- Practice address
- 9900 Lincoln Street
2ND Floor
Tacoma, WA 98431-0001 - Phone
- (253) 968-4079
- NPI assigned
- Jul 24, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 14288324-9926 | UT | Primary |
Addresses
Primary practice location
9900 Lincoln Street
2ND Floor
Tacoma, WA 98431-0001
Mailing address
9900 Lincoln Street
2ND Floor
Tacoma, WA 98431-0001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784851200000",
"number": "1427979343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9900 LINCOLN STREET",
"address_2": "2ND FLOOR",
"city": "TACOMA",
"state": "WA",
"postal_code": "984310001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9900 LINCOLN STREET",
"address_2": "2ND FLOOR",
"city": "TACOMA",
"state": "WA",
"postal_code": "984310001",
"telephone_number": "253-968-4079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACKHURST",
"first_name": "CALEB",
"middle_name": "ANTHONY",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-07-24",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "UT",
"license": "14288324-9926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.