JARED BLACKER (NPI# 1194735795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194735795 |
| Entity Type | Individual |
| Full Name | JARED BLACKER |
| Credential | DDS |
| Practice Address |
6848 E Brown Rd Mesa AZ 85207-3706 |
| Practice Telephone | 4804189207 |
| Mailing Telephone | 4804189207 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2019-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
7955 | NC | Dental Providers |
| Street Address |
6848 E BROWN RD |
| City | MESA |
| State | AZ |
| Zip Code | 85207-3706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467784322 | Noel A Williams | Dentist | 6848 E Brown Rd, Mesa, AZ 85207-3706 | 2010-02-03 |
| 1306976592 | Glauser Williams Orthodontics | Dentist | 6848 E Brown Rd, Mesa, AZ 85207-3706 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790241743 | Sharin Lane | Physical Therapist | Spooner North Mesa, PC, 6824 E Brown Rd # 102, Mesa, AZ 85207 | 2019-02-14 |
| 1154898435 | Phoenix Physician Group, LLC | Emergency Medicine | 3430 N. Mountain Ridge, Unit 14, Mesa, AZ 85207 | 2018-10-25 |
| 1467970939 | Kerry Mae Kenley | Specialist/Technologist | 7556 E. Laurel St, Mesa, AZ 85207 | 2017-09-05 |
| 1053709287 | Barbara Bowen | Speech-Language Pathologist | 8433 E. Leland St., Mesa, AZ 85207 | 2014-12-22 |
| 1043561046 | Joseph Allen Kempton | Physical Therapist | 844 N. Ellsworth Rd, Mesa, AZ 85207 | 2012-10-01 |
| 1629327556 | Odyssey Services Corp. | Community/Behavioral Health | 8947 East Quill Street, Mesa, AZ 85207 | 2012-09-06 |
| 1962729160 | Chao Li | Dermatology | 6832 E Brown Rd, Mesa, AZ 85207 | 2010-04-27 |
| 1366670929 | Trevor Lee Caffall | Dentist | 6812 E. Brown Rd., Ste 102, Mesa, AZ 85207 | 2009-06-22 |
| 1396928073 | Dht Hand Therapy Limited Partnership | Occupational Therapist | 7165 E University Dr Ste 143, Mesa, AZ 85207 | 2007-12-17 |
| 1184794075 | Karen L Thomas Pllc | Nurse Practitioner | 3902 N. Stone Gully Cricle, Mesa, AZ 85207 | 2006-11-08 |
| Find all providers in zip 85207 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174091342 | East Valley Orthodontics | Dentist | 1635 N Greenfield Rd Ste 103, Mesa, AZ 85205-4010 | 2018-11-06 |
| 1255758983 | Braces R Us | Dentist | 1702 S Val Vista Dr # 101, Mesa, AZ 85204-7304 | 2014-03-19 |
| 1851644504 | Embraceable Az LLC | Dentist | 1130 S Country Club Dr, Suite 101, Mesa, AZ 85210-4639 | 2012-10-18 |
| 1649424342 | Jason Knapp Judd | Dentist | 1942 E Southern Ave, Mesa, AZ 85204-5245 | 2008-11-06 |
| 1023276649 | S. Ryan Young, Dmd Cags Pllc | Dentist | 1702 S Val Vista Dr, Suite 101, Mesa, AZ 85204-7304 | 2008-05-30 |
| 1952585507 | Alan Mark Petersen | Dentist | 6755 E Superstition Springs Blvd Ste 201, Mesa, AZ 85206-4374 | 2007-12-18 |
| 1144410259 | James H Plets | Dentist | 2150 South Dobson Road, Suite #3, Mesa, AZ 85202 | 2007-07-26 |
| 1467674481 | Jack G Wright | Dentist | 453 W 5th St, Mesa, AZ 85201-5703 | 2007-05-02 |
| 1578694659 | Gregory Garn | Dentist | 2835 E Brown Rd Ste 102, Mesa, AZ 85213-5470 | 2007-03-08 |
| 1952479230 | Steven Ryan Young | Dentist | 1702 S Val Vista Dr Ste 101, Mesa, AZ 85204-7304 | 2006-12-02 |
| Find all providers in MESA | ||||
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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.