Richard Blackburn, DMD
NPI 1891215760ActiveIndividual· Dentist· Los Alamitos, CA
Dentist (DMD) in Los Alamitos, California, trained at Midwestern University College of Dental Medicine, Glendale (class of 2017). 67 Medicare patients in 2024, $16,979 paid; nearly all of their 103 Part D prescriptions were generic (97%).
Overview
| NPI | 1891215760 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DMD |
| Sole proprietor | No |
| NPI issued | Jun 22, 2017 |
| Last updated in NPPES | Mar 6, 2026 |
| Certified by provider | Mar 6, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 104972 | CA |
| Dentist, Oral and Maxillofacial Radiology | 1223X0008X | 104972 | CA |
| Dentist, Dentist Anesthesiologist Speciality | 1223D0004X | 104972 | CA |
| Dentist, Periodontics | 1223P0300X | 104972 | CA |
| Dentist, General Practice | 1223G0001X | 104972 | CA |
| Dentist, Orofacial Pain | 1223X2210X | 104972 | CA |
| Dentist, Endodontics | 1223E0200X | 104972 | CA |
| Dentist, Prosthodontics | 1223P0700X | 104972 | CA |
| Dentist, Oral and Maxillofacial Pathology | 1223P0106X | 104972 | CA |
| Dentist, Oral and Maxillofacial Surgery | 1223S0112X | 104972 | CA |
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | 104972 | CA |
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) | Enrolled Practitioner - Dentist (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 67 |
|---|---|
| Services billed | 95 across 10 procedure codes |
| Paid by Medicare | $16,979 |
Part D prescriptions in 2024
| Prescriptions (claims) | 103 · 106 30-day fills |
|---|---|
| Patients | 48 |
| Total drug cost | $664.50 |
| Generic share | 97% of claims |
Education and affiliations
| Medical school | Midwestern University College of Dental Medicine, Glendale |
|---|---|
| Graduation year | 2017 |
| Medicare specialty | Dentist |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other dentists in Los Alamitos
- 1033761580
- 1043557705
- 1124297635
- 1255485074
- 1295353654
- 1447034285
- 1548436108
- 1629214341
- 1851719231
- 1093760977
- 1144695289
- 1255484044
All 38 dentists in Los Alamitos · All dentists in California