MR. BLAKE CARDON PORTER D.M.D.
NPI 1417457524
Dentist - Oral and Maxillofacial Surgery in Lehi, UT

Q: What is Blake Porter's NPI number?

The NPI number for Blake Porter is 1417457524. It was assigned to this individual provider in the NPPES registry on February 15, 2018.

Q: What is Blake Porter's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Blake Porter was last updated on December 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 February 15, 2018PECOS Enrolled

3377 W LAZY J LN, LEHI, UT 84043(480) 273-4544 Get Directions Write a Review

NPPES record last updated: December 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 8, 2023, Aug 15, 2023, Jul 30, 2018 and 1 more (4 updates tracked since 2018).

On this page

About Mr. Blake Cardon Porter D.m.d. NPPES

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

MR. BLAKE CARDON PORTER D.M.D. (NPI 1417457524) is an individual oral and maxillofacial surgery provider in Lehi, Utah, licensed in Utah (7821520-9925) and active in the NPI registry since February 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Iowa City.

NPPES Registry Identity

NPI1417457524

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameMR. BLAKE CARDON PORTERCredential: D.M.D.

Location Address3377 W LAZY J LNLehi, UT 84043-6337

Mailing Address3377 W Lazy J LnLehi, UT 84043-6337 · (480) 273-4544

Phone(480) 273-4544

Sole ProprietorNo

Enumeration DateFebruary 15, 2018

Last NPPES UpdateDecember 8, 20234 updates tracked since enumeration

NPPES CertifiedDecember 8, 2023

✔ NPI 1417457524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Licenses✔ Licensed in UT · 7821520-9925✔ Licensed in ID · D-5568-OS

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License RES-30526 (IA)

3377 W LAZY J LN, Lehi, UT 84043

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Secondary Practice Location 1

Location 1200 Hawkins DrIowa City, IA 52242 · Phone (319) 335-7440

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)

Mr. Blake Cardon Porter D.m.d. 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 84043 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

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

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 Blake Porter's NPI number?

The NPI number for Blake Porter is 1417457524. It was assigned to this individual provider in the NPPES registry on February 15, 2018.

Where is Blake Porter located?

Blake Porter practices at 3377 W Lazy J Ln, Lehi, UT 84043. The listed phone number is (480) 273-4544.

What is Blake Porter's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Blake Porter enrolled in Medicare?

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

What insurance does Blake Porter 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 14 other insurers list Blake Porter 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 Porter was last updated on December 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.