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Richard Blackburn DMD, Inc

NPI 1457023921ActiveOrganization· Dentist· Los Alamitos, CA

Dentist in Los Alamitos, California, registered in NPPES in October 2021. The authorized official on file is Richard Blackburn, DMD, Owner. Enrolled in Medicare as dme supplier - oral surgery - dentist and part b supplier - clinic/group practice.

Overview

NPI1457023921
StatusActive
Entity typeOrganization
NPI issuedOct 1, 2021
Last updated in NPPESMar 4, 2026
Certified by providerMar 4, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000X——
Dentist, Dentist Anesthesiologist Speciality1223D0004X——
Dentist, Endodontics1223E0200X——
Dentist, General Practice1223G0001X——
Dentist, Oral and Maxillofacial Pathology1223P0106X——
Dentist, Periodontics1223P0300X——
Dentist, Prosthodontics1223P0700X——
Dentist, Oral and Maxillofacial Surgery1223S0112X——
Dentist, Oral and Maxillofacial Radiology1223X0008X——
Dentist, Orthodontics and Dentofacial Orthopedics1223X0400X——
Dentist, Orofacial Pain1223X2210X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled DME Supplier - Oral Surgery - Dentist (CA); Part B Supplier - Clinic/Group Practice (CA)

Medicare sources and data years

Other dentists in Los Alamitos

All 38 dentists in Los Alamitos · All dentists in California