Nicole Ann Blake, RDH/DT
NPI 1518849603ActiveIndividual· Dental Therapist· North Mankato, MN
Dental Therapist (RDH/DT) in North Mankato, Minnesota, licensed in MN, with an NPI issued in July 2025.
Overview
| NPI | 1518849603 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RDH/DT |
| Sole proprietor | No |
| NPI issued | Jul 22, 2025 |
| Last updated in NPPES | Oct 9, 2026 |
| Certified by provider | Oct 9, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dental Therapist Primary | 125J00000X | DT-186 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|