DR. JOHN WALTON BLACKMAN II (NPI# 1063637668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063637668 |
| Entity Type | Individual |
| Full Name | DR. JOHN WALTON BLACKMAN II |
| Credential | DDS |
| Practice Address |
1409 Plaza West Road #h Winston Salem NC 27103 |
| Mailing Address |
1409 Plaza West Road Suite H Winston Salem NC 27103 |
| Practice Telephone | 3367609258 |
| Practice Fax Number | 3366599258 |
| Mailing Telephone | 3367609258 |
| Mailing Fax Number | 3366599258 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 3165 | NC | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174694749 | John D Blackman | Internal Medicine | 500 E Main St, Ste 100, Columbus, OH 43215-5369 | 2006-11-13 |
| Street Address |
1409 PLAZA WEST ROAD #H |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548824907 | Hyung Won Lee | Dentist | 4550 Country Club Rd, Winston Salem, NC 27104-3518 | 2019-04-30 |
| 1396308268 | Willardean Carroll Jordandula | Dentist | 3200 Cumberland Rd, Winston Salem, NC 27105-3303 | 2019-04-17 |
| 1003307703 | Lisa R. Gaither Dmd P.a. | Dentist | 1027 Hanes Mall Blvd, Winston Salem, NC 27103-1310 | 2018-05-29 |
| 1033600382 | Alterman & Dhillon Piedmont, Pplc | Dentist | 336 E Hanes Mill Rd, Winston Salem, NC 27105 | 2018-05-22 |
| 1659727535 | Barry Devon Price | Dentist | 755 Highland Oaks Dr Ste 106, Winston Salem, NC 27103-7106 | 2016-05-10 |
| 1205295680 | Kia Johnson | Dentist | 2101 Peters Creek Pkwy Ste 16-19, Winston Salem, NC 27127 | 2016-02-15 |
| 1982009114 | William R. Warren Dds, Pa | Dentist | 2606 New Walkertown Rd., Winston Salem, NC 27101 | 2014-10-30 |
| 1447679956 | Andrew C Geer, Dds Pllc | Dentist | 3244 Reynolda Rd, Winston Salem, NC 27106-3040 | 2014-04-11 |
| 1588080469 | Kimberly Pinyan | Dentist | 4712 Country Club Rd Ste C, Winston Salem, NC 27104-3749 | 2014-03-14 |
| 1053752055 | Katelyn Joyce Henderson | Dentist | 1480 Rymco Dr Ste A, Winston Salem, NC 27103-3072 | 2013-07-08 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27103 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.