DR. KYLE Z BLACKER DDS
NPI 1104353788
Dentist - General Practice in Kansas City, MO

Q: What is Kyle Blacker's NPI number?

The NPI number for Kyle Blacker is 1104353788. It was assigned to this individual provider in the NPPES registry on May 15, 2017.

Q: What is Kyle Blacker's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Kyle Blacker was last updated on May 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 15, 2017

11208 QUINCY AVE, KANSAS CITY, MO 64137(816) 763-8400 Get Directions Write a Review

NPPES record last updated: May 15, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Dr. Kyle Z Blacker Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KYLE Z BLACKER DDS (NPI 1104353788) is an individual general practice provider in Kansas City, Missouri, licensed in Missouri (2016019236) and active in the NPI registry since May 2017.

NPPES Registry Identity

NPI1104353788

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. KYLE Z BLACKERCredential: DDS

Location Address11208 QUINCY AVEKansas City, MO 64137-2504

Mailing Address11208 Quincy AveKansas City, MO 64137-2504 · (816) 763-8400

Phone(816) 763-8400

Sole ProprietorYes

Enumeration DateMay 15, 2017

✔ NPI 1104353788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MO · 2016019236

Definition

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.

11208 QUINCY AVE, Kansas City, MO 64137

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MITCHELL BLACKER

Dentist (General Practice)

11208 QUINCY AVE
KANSAS CITY, MO 64137

Jackson County (816) 763-8400

BLACKER FAMILY DENTAL LLC

Dentist (General Practice)

11208 QUINCY AVE
KANSAS CITY, MO 64137

Jackson County (816) 763-8400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kyle Blacker's NPI number?

The NPI number for Kyle Blacker is 1104353788. It was assigned to this individual provider in the NPPES registry on May 15, 2017.

Where is Kyle Blacker located?

Kyle Blacker practices at 11208 Quincy Ave, Kansas City, MO 64137. The listed phone number is (816) 763-8400.

What is Kyle Blacker's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Kyle Blacker accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 18 other insurers list Kyle Blacker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kyle Blacker was last updated on May 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.