NPIMap

Organization Active NPI

Raymond C. Blackburn, M.D.

  • Dermatology Physician
  • Dallas, TX
National Provider Identifier
1952789729
Registry record updated May 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
F2557 Issued in TX
Legal business name
RAYMOND C. BLACKBURN, M.D.
Doing business as
Raymond C. Blackburn, M.D.
Practice address
8200 Brookriver Dr
Suite N705
Dallas, TX 75247-4069
Phone
(214) 630-5256
NPI assigned
May 13, 2015
Last updated
May 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2015

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

Authorized official

Name
Dr. Raymond C Blackburn, M.D.NPI 1831154988
Title
Owner/Medical Director
Phone
(214) 630-5256

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X F2557 TX Primary

Addresses

Primary practice location

8200 Brookriver Dr
Suite N705
Dallas, TX 75247-4069

Mailing address

8200 Brookriver Dr
Suite N705
Dallas, TX 75247-4069
Phone (214) 630-5256

Other names 1

  • Raymond C. Blackburn, M.D. Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431475200000",
    "number": "1952789729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 BROOKRIVER DR",
            "address_2": "SUITE N705",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474069",
            "telephone_number": "214-630-5256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 BROOKRIVER DR",
            "address_2": "SUITE N705",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474069",
            "telephone_number": "214-630-5256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND C. BLACKBURN, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-13",
        "last_updated": "2015-05-13",
        "status": "A",
        "authorized_official_last_name": "BLACKBURN",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "214-630-5256",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "TX",
            "license": "F2557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Raymond C. Blackburn, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.