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BLAKE IMAM DMD
NPI 1285040394
Dentist in Meridian, ID

Active since July 09, 2014PECOS Enrolled
317 W CHERRY LN, MERIDIAN, ID 83642(208) 888-2055(208) 395-1017 Get Directions Write a Review

NPPES record last updated: July 9, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Blake Imam Dmd NPPES

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

BLAKE IMAM DMD (NPI 1285040394) is an individual dentist in Meridian, Idaho, licensed in Idaho (D-4604) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285040394
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameBLAKE IMAMCredential: DMD
Location Address317 W CHERRY LNMeridian, ID 83642-1608
Mailing Address317 W Cherry LnMeridian, ID 83642-1608 · (208) 888-2055 · Fax (208) 395-1017
Phone(208) 888-2055
Fax(208) 395-1017
Sole ProprietorNo
Enumeration DateJuly 9, 2014
✔ NPI 1285040394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in ID · D-4604
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.
317 W CHERRY LN, Meridian, ID 83642
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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)

Blake Imam Dmd 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 83642 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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 11

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

DR. MARIVIN OTO DDS
Dentist (General Practice)
317 W CHERRY LN
MERIDIAN, ID 83642
Ada County (208) 888-2055
MRS. JULIE L HESS DMD
Dentist (General Practice)
317 W CHERRY LN
MERIDIAN, ID 83642
Ada County (208) 888-2055
DR. MATTHEW L TUFT DDS
Dentist
317 W CHERRY LN
MERIDIAN, ID 83642
Ada County (208) 888-2055
WILLOW TREE DENTAL GROUP LLC
Dentist (Periodontics)
317 W CHERRY LN
MERIDIAN, ID 83642
Ada County (208) 472-7817
BRUCE W RICHARDSON D.D.S.
Dentist (Periodontics)
317 W CHERRY LN
MERIDIAN, ID 83642
Ada County (208) 888-2055
WILLOWTREE DENTAL GROUP PLLC
Dentist (General Practice)
317 W CHERRY LN
MERIDIAN, ID 83642
Ada County (208) 888-2055
DR. ROBERT W HENDRICKS DDS
Dentist (General Practice)
317 W CHERRY LN
MERIDIAN, ID 83642
Ada County (208) 888-2055
DR. JETHE ANN ABRAHAM D.D.S.
Dentist
317 W CHERRY LN
MERIDIAN, ID 83642
Ada County (208) 489-7077

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 Blake Imam's NPI number?

The NPI number for Blake Imam is 1285040394. It was assigned to this individual provider in the NPPES registry on July 9, 2014.

Where is Blake Imam located?

Blake Imam practices at 317 W Cherry Ln, Meridian, ID 83642. The listed phone number is (208) 888-2055.

What is Blake Imam's specialty?

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

Is Blake Imam enrolled in Medicare?

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

What insurance does Blake Imam 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 8 other insurers list Blake Imam 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 Blake Imam was last updated on July 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.