Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1497718969 Individual Practitioner Male Practitioner

Mitchell Blacker

Dentist - General Practice • Kansas City, MO

Professional Overview & Biography Verified Profile Summary

Mitchell Blacker is a registered healthcare professional specializing in Dentist - General Practice in Kansas City, MO. Practice services are available at 11208 QUINCY AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11208 Quincy Ave

Kansas City, MO 641372504

Telephone 8167638400
Fax 8167658403
Associated Practice Facility / Clinic
🏢 Blacker Family Dental Llc Facility NPI 1518742675

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Kansas City, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 3.0 Yrs
State Avg: 9.5 Yrs
Regional Practice Density
247 Specialists

Practicing in Kansas City, MO (2113 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MO 13939

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Kyle Blacker , DDS

Dentist - General Practice

NPI 1104353788

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 27, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location May 27, 2015

Registered at 11208 QUINCY AVE, KANSAS CITY, MO 641372504 (Tel: 8167638400)

📍
Updated Business Mailing Address May 27, 2015

Registered at 11208 QUINCY AVE, KANSAS CITY, MO 641372504 (Tel: 8167638400)

👤
Provider Name / Credentials Updated May 27, 2015

Recorded as MITCHELL BLACKER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 27, 2015

Dentist (License #13939 in MO)

🟢
Initial NPI Registration & Enumeration April 07, 2006

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: 1497718969
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 07, 2006
Last Update: May 27, 2015
Sole Proprietor: Yes

Mailing Address

11208 Quincy Ave

Kansas City, MO 641372504

Phone: 8167638400

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.