SHANE KYLE BLACKER DDS
NPI 1184892473
Dentist - Orthodontics and Dentofacial Orthopedics in Tempe, AZ

Active since February 20, 2008
6200 S MCCLINTOCK DR STE 11, TEMPE, AZ 85283(480) 839-6262(480) 839-1029 Get Directions Write a Review

NPPES record last updated: February 20, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shane Kyle Blacker Dds NPPES

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

SHANE KYLE BLACKER DDS (NPI 1184892473) is an individual orthodontics and dentofacial orthopedics provider in Tempe, Arizona, licensed in Arizona (6210) and active in the NPI registry since February 2008.

NPPES Registry Identity

NPI1184892473
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameSHANE KYLE BLACKERCredential: DDS
Location Address6200 S MCCLINTOCK DR STE 11Tempe, AZ 85283-3268
Mailing Address6200 S Mcclintock Dr Ste 11Tempe, AZ 85283-3268 · (480) 839-6262 · Fax (480) 839-1029
Fax(480) 839-1029
Sole ProprietorYes
Enumeration DateFebruary 20, 2008
NPI 1184892473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in AZ · 6210
Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

6200 S MCCLINTOCK DR STE 11, Tempe, AZ 85283

Accepted Insurance

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 Shane Blacker's NPI number?

The NPI number for Shane Blacker is 1184892473. It was assigned to this individual provider in the NPPES registry on February 20, 2008.

Where is Shane Blacker located?

Shane Blacker practices at 6200 S Mcclintock Dr Ste 11, Tempe, AZ 85283. The listed phone number is (480) 839-6262.

What is Shane Blacker's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

What insurance does Shane Blacker accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Shane 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 Shane Blacker was last updated on February 20, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.