Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114613411 Individual Practitioner Female Practitioner

Nadia R Blake

Dentist • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Nadia Blake is a registered healthcare professional specializing in Dentist in Phoenix, AZ. Practice services are available at 4910 E CHANDLER BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4910 E Chandler Blvd

Phoenix, AZ 850480866

Telephone 4805625129

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.3 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
412 Specialists

Practicing in Phoenix, AZ (1999 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-09-09
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License AZ D012280

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

11100 Euclid Ave

Cleveland, OH 441061716

Phone: 3406261641

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Natasha Bodiroga , DMD

Dentist - General Practice

NPI 1255943924

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location September 09, 2024

Registered at 4910 E CHANDLER BLVD, PHOENIX, AZ 850480866 (Tel: 4805625129)

📍
Updated Business Mailing Address September 09, 2024

Registered at 4910 E CHANDLER BLVD, PHOENIX, AZ 850480866 (Tel: 4805625129)

NPI Profile Active April 11, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location April 11, 2023

Registered at 11100 EUCLID AVE, CLEVELAND, OH 441061716 (Tel: 3406261641)

📍
Updated Business Mailing Address April 11, 2023

Registered at 11100 EUCLID AVE, CLEVELAND, OH 441061716

👤
Provider Name / Credentials Updated April 11, 2023

Recorded as NADIA BLAKE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 11, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114613411
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 11, 2023
Last Update: September 09, 2024
Sole Proprietor: No

Mailing Address

4910 E Chandler Blvd

Phoenix, AZ 850480866

Phone: 4805625129

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.