Nadia R. Blake
NPI 1114613411ActiveIndividual· Dentist· Phoenix, AZ
Dentist in Phoenix, Arizona, licensed in AZ, with an NPI issued in April 2023. Enrolled in Medicare as order and referring only - dentist. Dentsply Sirona Inc reported $14.81 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1114613411 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Apr 11, 2023 |
| Last updated in NPPES | Sep 9, 2024 |
| Certified by provider | Sep 9, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | D012280 | AZ |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Order and Referring Only - Dentist (OH) |
|---|
Industry payments (Open Payments)
- 2025$14.81 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Dentsply Sirona Inc | $14.81 | 1 |
What the 2025 payments were for
- Food and Beverage$14.81 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Dentist providers in Phoenix
- 1740051929
- 1659790897
- 1356501662
- 1962790626
- 1437378858
- 1609152354
- 1568961480
- 1255695813
- 1144888652
- 1578915021
- 1528256773
- 1821215351