Marissa Ann Blackwell, DDS
NPI 1548790207ActiveIndividual· Dentist, General Practice· San Angelo, TX
Dentist, General Practice (DDS) in San Angelo, Texas, licensed in TX, with an NPI issued in June 2017. Part D covered 44 prescriptions written in 2024, 100% of them generic.
Overview
| NPI | 1548790207 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | No |
| NPI issued | Jun 15, 2017 |
| Last updated in NPPES | Apr 4, 2022 |
| Certified by provider | Apr 4, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 32921 | TX |
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 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 44 · 44 30-day fills |
|---|---|
| Patients | 35 |
| Total drug cost | $219.24 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 47 general dentists in San Angelo · All general dentists in Texas