DR. JACOB STEVEN BLACKHURST DDS
NPI 1154938520
Dentist in Apo, AA

Q: What is Jacob Blackhurst's NPI number?

The NPI number for Jacob Blackhurst is 1154938520. It was assigned to this individual provider in the NPPES registry on September 29, 2020.

Q: What is Jacob Blackhurst's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jacob Blackhurst was last updated on March 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 September 29, 2020PECOS Enrolled

BLDG 4-1838 NORMANDY DR, APO, AA 28307(910) 432-6190 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 20, 2023, Sep 29, 2020 (2 updates tracked since 2020).

On this page

About Dr. Jacob Steven Blackhurst Dds NPPES

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

DR. JACOB STEVEN BLACKHURST DDS (NPI 1154938520) is an individual dentist in Apo, AA, licensed in Utah (11821131-992) and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154938520

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. JACOB STEVEN BLACKHURSTCredential: DDS

Location AddressBLDG 4-1838 NORMANDY DRApo, AA 28307-7302

Mailing Address735 Exeter StCarthage, NC 28327-1455 · (801) 669-1992

Phone(910) 432-6190

Sole ProprietorNo

Enumeration DateSeptember 29, 2020

Last NPPES UpdateMarch 20, 20232 updates tracked since enumeration

NPPES CertifiedMarch 20, 2023

✔ NPI 1154938520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in UT · 11821131-992

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.

BLDG 4-1838 NORMANDY DR, Apo, AA 28307

Open in Google Maps ↗

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 Montana 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)

Dr. Jacob Steven Blackhurst Dds 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 28307 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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.

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 Jacob Blackhurst's NPI number?

The NPI number for Jacob Blackhurst is 1154938520. It was assigned to this individual provider in the NPPES registry on September 29, 2020.

Where is Jacob Blackhurst located?

Jacob Blackhurst practices at Bldg 4-1838 Normandy Dr, Apo, AA 28307. The listed phone number is (910) 432-6190.

What is Jacob Blackhurst's specialty?

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

Is Jacob Blackhurst enrolled in Medicare?

Yes. Jacob Blackhurst is registered in the Medicare PECOS enrollment system.

What insurance does Jacob Blackhurst accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 14 other insurers list Jacob Blackhurst 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 Jacob Blackhurst was last updated on March 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.