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NADIA R BLAKE
NPI 1114613411
Dentist in Phoenix, AZ

Active since April 11, 2023PECOS Enrolled
4910 E CHANDLER BLVD, PHOENIX, AZ 85048(480) 562-5129 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 9, 2024, Apr 11, 2023 (2 updates tracked since 2023).

About Nadia R Blake NPPES

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

NADIA R BLAKE (NPI 1114613411) is an individual dentist in Phoenix, Arizona, licensed in Arizona (D012280) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Cleveland.

NPPES Registry Identity

NPI1114613411
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameNADIA R BLAKE
Location Address4910 E CHANDLER BLVDPhoenix, AZ 85048-0866
Mailing Address4910 E Chandler BlvdPhoenix, AZ 85048-0866 · (480) 562-5129
Phone(480) 562-5129
Sole ProprietorNo
Enumeration DateApril 11, 2023
Last NPPES UpdateSeptember 9, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2024
✔ NPI 1114613411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in AZ · D012280
Definition
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4910 E CHANDLER BLVD, Phoenix, AZ 85048
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Secondary Practice Location 1

Location 111100 Euclid AveCleveland, OH 44106-1716 · Phone (340) 626-1641

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nadia R Blake is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85048 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

BARBARA C KOGUT RDH
Dental Hygienist
4910 E CHANDLER BLVD
PHOENIX, AZ 85048
Maricopa County (480) 785-7600

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 Nadia Blake's NPI number?

The NPI number for Nadia Blake is 1114613411. It was assigned to this individual provider in the NPPES registry on April 11, 2023.

Where is Nadia Blake located?

Nadia Blake practices at 4910 E Chandler Blvd, Phoenix, AZ 85048. The listed phone number is (480) 562-5129.

What is Nadia Blake's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Nadia Blake enrolled in Medicare?

Yes. Nadia Blake is registered in the Medicare PECOS enrollment system.

What insurance does Nadia Blake accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 10 other insurers list Nadia Blake 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 Nadia Blake was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.