BLACKWOOD FAMILY DENTISTRY (NPI# 1497839013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497839013 |
| Entity Type | Organization |
| Organization Name | BLACKWOOD FAMILY DENTISTRY |
| Practice Address |
501 Garfield St Quinter KS 67752-9795 |
| Mailing Address |
Po Box 557 501 Garfield Quinter KS 67752-0557 |
| Practice Telephone | 7857542441 |
| Practice Fax Number | 7857542466 |
| Mailing Telephone | 7857542441 |
| Mailing Fax Number | 7857542466 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ERIC BLACKWOOD (DENTIST) |
| Authorized Official Telephone | 7857542441 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
60189 | KS | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | DORAL LOCATION NUMBER | 103514 | 01 |
| KS | BLUE CROSS BLUE SHIELD | 116736 | 01 |
| Street Address |
501 GARFIELD ST |
| City | QUINTER |
| State | KS |
| Zip Code | 67752-9795 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265485403 | Bluestem Medical, LLP | Family Medicine | 501 Garfield St, Quinter, KS 67752-9795 | 2006-05-18 |
| 1992144851 | Glenda M Wheeler | Nurse Practitioner | 501 Garfield St, Quinter, KS 67752-9795 | 2013-06-24 |
| 1184708604 | Anna Blackwood | Dental Hygienist | 501 Garfield St, Quinter, KS 67752-9795 | 2006-10-24 |
| 1336186196 | Michael E Machen | Family Medicine | 501 Garfield St, Quinter, KS 67752-9795 | 2006-06-01 |
| 1124065198 | Jill A Stewart | Family Medicine | 501 Garfield St, Quinter, KS 67752-9795 | 2006-05-31 |
| 1811941347 | Shelly L Gruenbacher | Family Medicine | 501 Garfield St, Quinter, KS 67752-9795 | 2006-05-20 |
| 1376597872 | Douglas J Gruenbacher | Family Medicine | 501 Garfield St, Quinter, KS 67752-9795 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487645487 | Eric Blackwood | Dentist | 501garfield St., Quinter, KS 67752 | 2005-10-31 |
| 1063469294 | Rays Pharmacy Inc | Pharmacy | 414 Main St, Quinter, KS 67752 | 2006-05-31 |
| 1932192465 | Gove County Medical Center | General Acute Care Hospital | 520 W 5th Street, Quinter, KS 67752-0129 | 2005-08-30 |
| 1760566947 | Gove County Medical Center | Anesthesiology | 520 W 5th Street, Quinter, KS 67752-0129 | 2006-10-25 |
| 1295771608 | Gove County Medical Center | Medicare Defined Swing Bed Unit | 520 W 5th Street, Quinter, KS 67752-0129 | 2006-06-22 |
| 1588609747 | Gove County Medical Center | Home Health | 520 W 5th Street, Quinter, KS 67752-0129 | 2006-06-19 |
| 1396780557 | Gove County Medical Center | Nursing Facility/Intermediate Care Facility | 520 W 5th Street, Quinter, KS 67752-0129 | 2006-06-19 |
| 1720058324 | Quinter Ambulance Service Inc | Ambulance | 412 Main St, Quinter, KS 67752-0310 | 2006-01-25 |
| 1265583512 | Bradley Scott Wertz | Nurse Anesthetist, Certified Registered | 7211 County Road Y, Quinter, KS 67752-6105 | 2007-01-15 |
| 1437368347 | Michele Roesch-johnson | Occupational Therapist | 7668 County Road Bb, Quinter, KS 67752-6129 | 2007-05-21 |
| Find all providers in zip 67752 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071783 | David L. Foley D.d.s. Inc | Clinic/Center | 940 N Andover Rd, Andover, KS 67002-9787 | 2020-10-20 |
| 1629680368 | Alexander J. Clark Dds, LLC | Clinic/Center | 8340 Mission Rd Ste 118, Prairie Village, KS 66206-1362 | 2020-08-22 |
| 1225653959 | Moxley Family Dental, LLC | Clinic/Center | 15455 E 13th St N, Wichita, KS 67230-7572 | 2020-06-09 |
| 1760018576 | Senior Dental Care of Ms, LLC | Clinic/Center | 8500 W 110th St Ste 450, Overland Park, KS 66210-4029 | 2020-03-13 |
| 1962037523 | Beverly Moon Dmd LLC | Clinic/Center | 4601 W 109th St Ste 240, Overland Park, KS 66211-1323 | 2020-03-04 |
| 1518504976 | M&m Family Dentistry LLC | Clinic/Center | 9319 E Harry St Ste 126, Wichita, KS 67207-5070 | 2019-12-04 |
| 1811542640 | Medical Heights Dental Center, Pa | Clinic/Center | 100 W Ross Blvd Ste 2c, Dodge City, KS 67801-7217 | 2019-08-08 |
| 1508419938 | Custom Dental of Ottawa, Pa | Clinic/Center | 2030 S Princeton St, Ottawa, KS 66067 | 2019-07-24 |
| 1114588639 | Evolve Family Dentistry, LLC | Clinic/Center | 1133 College Ave Ste A103, Manhattan, KS 66502-2795 | 2019-06-25 |
| 1477112563 | Wamego Dental Professionals LLC | Clinic/Center | 1519 W Us Highway 24, Wamego, KS 66547-1322 | 2019-06-11 |
| Find all providers with the same taxonomy | ||||
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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.