Alberto Sylvester Blackwood, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN20720 Issued in FL

Practice address

1021 Health Park Dr
Moore Haven, FL 33471-6206

Phone

(863) 946-0405

Fax

(863) 946-0145

NPI assigned

Oct 6, 2014

Last updated

Dec 13, 2019By 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

State licenses

Practice roles

Networks

• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: alberto.blackwood.1@14865.direct.athenahealth.com

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.

• Florida Community Health Centers, Inc.

  dba Grace Women's Health Center

  • Federally Qualified Health Center (FQHC)
  • Fort Pierce, FL
  • NPI 1104250786
  NPD (past)

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1487057303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5827 CORPORATE WAY",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072000",
            "telephone_number": "561-844-9443",
            "fax_number": "561-472-9692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 HEALTH PARK DR",
            "city": "MOORE HAVEN",
            "state": "FL",
            "postal_code": "334716206",
            "telephone_number": "863-946-0405",
            "fax_number": "863-946-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKWOOD",
        "first_name": "ALBERTO",
        "middle_name": "SYLVESTER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-06",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN20720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arnold Pro Services, LLC
• Tiffany E Arnold, MSW
• Dorothy A Baker, PA
• Edward Clewell
• Salvatore M Colombo, DMD
• Kathryn R. Cornette, M.D.
• County of Glades Office of Clerk Board County Commissioners (Glades County EMS)
• Etc Counseling LLC

• General Practice Dentistry in Moore Haven, FL
• Providers in Moore Haven, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; 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.