NPIMap

Individual provider Active NPI

Heather Blackmond, D.M.D.

  • Dentist
  • San Antonio, TX
National Provider Identifier
1750836896
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
32189 Issued in TX
Practice address
15327 Henderson Pass
San Antonio, TX 78232-3941
Phone
(808) 388-4023
NPI assigned
Aug 18, 2016
Last updated
Mar 31, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 32189 TX Primary

Addresses

Primary practice location

15327 Henderson Pass
San Antonio, TX 78232-3941

Mailing address

15327 Henderson Pass
San Antonio, TX 78232-3941

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160921001652 TX Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 3072800937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32189TXMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
El Centro del Barrio Inc Past Accepting new patients
El Centro del Barrio, Inc. Past Accepting new patients
El Centro del Barrio, Inc Past Accepting new patients
El Centro del Barrio, Inc. Past Accepting new patients
El Centro del Barrio, Inc. Past Accepting new patients
El Centro del Barrio, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: heather.blackmond.p1@direct.centromed.nextgenshare.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1750836896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15327 HENDERSON PASS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782323941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15327 HENDERSON PASS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782323941",
            "telephone_number": "808-388-4023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKMOND",
        "first_name": "HEATHER",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-18",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "32189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.