Dennis Sidney Blackstad, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

3650 Issued in OK

Practice address

511 N Aspen Ave
Broken Arrow, OK 74012-2220

Phone

(918) 806-8050

Fax

(918) 995-3773

NPI assigned

Dec 19, 2006

Last updated

May 24, 2026By 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 OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: Emergency Medicine

Education

Oklahoma State University College of Osteopathic Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Refuge Care Hospice Hospice, Bristow, OK, CCN 371690
• Bright Heart Hospice LLC Hospice, Broken Arrow, OK, CCN 371748

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dennis.blackstad.1@21352.direct.athenahealth.com

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Bright Heart Hospice LLC

  • Community Based Hospice Care Agency
  • Broken Arrow, OK
  • NPI 1922885318

  W-2 Managing Employee

  CMS ownership

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.

• Charger Health Group PLLC

  • Family Medicine Physician
  • Broken Arrow, OK
  • NPI 1346855640
  Medicare reassignment NPD Authorized official
• Medwise LLC

  • Urgent Care Clinic/Center
  • Coweta, OK
  • NPI 1629604434
  Medicare reassignment NPD Authorized official
• Medwise LLC

  • Durable Medical Equipment & Medical Supplies
  • Tulsa, OK
  • NPI 1407656572
  NPD Authorized official
• Better Living Medical Equipment & Repair LLC

  • Durable Medical Equipment & Medical Supplies
  • Broken Arrow, OK
  • NPI 1760424535
  NPD
• Little Tree Medical Clinic

  dba Littletree Nurse Practitioner Clinic

  • Primary Care Clinic/Center
  • Drumright, OK
  • NPI 1306008107
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bright Heart Hospice LLC

  • Community Based Hospice Care Agency
  • Broken Arrow, OK
  • NPI 1922885318
  Care Compare affiliation
• Onhl Hospice Services, LLC

  • Inpatient Hospice
  • Drumright, OK
  • NPI 1780608307
  Care Compare affiliation

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779580800000",
    "number": "1710040894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 342",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740130342",
            "telephone_number": "918-806-8050",
            "fax_number": "918-995-3773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 N ASPEN AVE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740122220",
            "telephone_number": "918-806-8050",
            "fax_number": "918-995-3773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11495 S State Highway 51",
            "address_purpose": "LOCATION",
            "city": "Coweta",
            "state": "OK",
            "postal_code": "744297138",
            "country_code": "US",
            "telephone_number": "918-727-2780",
            "fax_number": "918-279-7697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACKSTAD",
        "first_name": "DENNIS",
        "middle_name": "SIDNEY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2026-05-24",
        "certification_date": "2026-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "3650",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "3650",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100171140A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vanessa Renee Bishline, MPT
• Nia Black English
• Phillip Anthony Black, M.S.
• Charity Dawn Blackburn
• Sara Blackman
• Ryanna Blake, OT
• Chelsey Diana Blakley
• Jamie Blalack
• Abigail Blansett
• Zachary Blanton, DC

• Family Medicine Physician in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.