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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. BLAKE THOMAS PRATHER DDS
NPI 1356636799
Dentist - Endodontics in Kokomo, IN

Active since June 14, 2011PECOS Enrolled
112 E ALTO RD, KOKOMO, IN 46902(765) 455-2505(765) 455-2564 Get Directions Write a Review

NPPES record last updated: October 8, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Blake Thomas Prather Dds NPPES

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

DR. BLAKE THOMAS PRATHER DDS (NPI 1356636799) is an individual endodontics provider in Kokomo, Indiana, licensed in Indiana (12011651A) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1356636799
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDR. BLAKE THOMAS PRATHERCredential: DDS
Location Address112 E ALTO RDKokomo, IN 46902-3601
Mailing Address112 E Alto RdKokomo, IN 46902-3601 · (765) 455-2505 · Fax (765) 455-2564
Phone(765) 455-2505
Fax(765) 455-2564
Sole ProprietorNo
Enumeration DateJune 14, 2011
Last NPPES UpdateOctober 8, 2026
NPPES CertifiedOctober 8, 2026
✔ NPI 1356636799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in IN · 12011651A
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
112 E ALTO RD, Kokomo, IN 46902
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Secondary Practice Locations 2

Location 11121 W Michigan StIndianapolis, IN 46202-5211 · Phone (317) 274-7433 · Fax (317) 274-2603
Location 214757 Oak Rd Ste 400Carmel, IN 46033-8179 · Phone (317) 580-0123

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., BEST Life 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. Blake Thomas Prather 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 46902 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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 4

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

DR. MICHAEL PATRICK ASLIN DDS
Dentist (Endodontics)
112 E ALTO RD
KOKOMO, IN 46902
Howard County (765) 455-2505
DR. JOHN E MAROSKY DDS, MSD
Dentist (Endodontics)
112 E ALTO RD
KOKOMO, IN 46902
Howard County (765) 455-2505
DR. BRIAN PAUL TATE DDS, MSD
Dentist (Endodontics)
112 E ALTO RD
KOKOMO, IN 46902
Howard County (765) 455-2505
KOKOMO ENDODONTICS INC
Dentist (Endodontics)
112 E ALTO RD
KOKOMO, IN 46902
Howard County (765) 455-2505

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 Prather's NPI number?

The NPI number for Blake Prather is 1356636799. It was assigned to this individual provider in the NPPES registry on June 14, 2011.

Where is Blake Prather located?

Blake Prather practices at 112 E Alto Rd, Kokomo, IN 46902. The listed phone number is (765) 455-2505.

What is Blake Prather's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Blake Prather enrolled in Medicare?

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

What insurance does Blake Prather accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., BEST Life, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 10 other insurers list Blake Prather 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 Prather was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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.