DR. LISA DENISE BLACKMON DDS
NPI 1235205527
Dentist in Shaker Heights, OH

Q: What is Lisa Blackmon's NPI number?

The NPI number for Lisa Blackmon is 1235205527. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Q: What is Lisa Blackmon'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 Lisa Blackmon was last updated on October 26, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 November 28, 2006PECOS Enrolled

3729 LEE ROAD, SHAKER HEIGHTS DENTAL EXPRESS, SHAKER HEIGHTS, OH 44120(216) 751-9922(216) 752-0870 Get Directions Write a Review

NPPES record last updated: October 26, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Lisa Denise Blackmon Dds NPPES

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

DR. LISA DENISE BLACKMON DDS (NPI 1235205527) is an individual dentist in Shaker Heights, Ohio, licensed in Ohio (20813) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235205527

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. LISA DENISE BLACKMONCredential: DDS

Location Address3729 LEE ROAD, SHAKER HEIGHTS DENTAL EXPRESSShaker Heights, OH 44120

Mailing Address3729 Lee Road, Shaker Heights Dental ExpressShaker Heights, OH 44120 · (216) 751-9922 · Fax (216) 752-0870

Phone(216) 751-9922

Fax(216) 752-0870

Sole ProprietorYes

Enumeration DateNovember 28, 2006

Last NPPES UpdateOctober 26, 2009

✔ NPI 1235205527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in OH · 20813

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.

3729 LEE ROAD, Shaker Heights, OH 44120

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Other Identifiers 1

Medicaid2066580OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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. Lisa Denise Blackmon 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 44120 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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 Lisa Blackmon's NPI number?

The NPI number for Lisa Blackmon is 1235205527. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Where is Lisa Blackmon located?

Lisa Blackmon practices at 3729 Lee Road Shaker Heights Dental Express, Shaker Heights, OH 44120. The listed phone number is (216) 751-9922.

What is Lisa Blackmon's specialty?

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

Is Lisa Blackmon enrolled in Medicare?

Yes. Lisa Blackmon is registered in the Medicare PECOS enrollment system.

What insurance does Lisa Blackmon accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and BEST Life and 14 other insurers list Lisa Blackmon 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 Lisa Blackmon was last updated on October 26, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.