MITCHELL BLACKER
NPI 1497718969
Dentist - General Practice in Kansas City, MO

Q: What is Mitchell Blacker's NPI number?

The NPI number for Mitchell Blacker is 1497718969. It was assigned to this individual provider in the NPPES registry on April 7, 2006.

Q: What is Mitchell Blacker's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Mitchell Blacker was last updated on May 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 April 07, 2006PECOS Enrolled

11208 QUINCY AVE, KANSAS CITY, MO 64137(816) 763-8400(816) 765-8403 Get Directions Write a Review

NPPES record last updated: May 27, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mitchell Blacker NPPES

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

MITCHELL BLACKER (NPI 1497718969) is an individual general practice provider in Kansas City, Missouri, licensed in Missouri (13939) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497718969

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameMITCHELL BLACKER

Location Address11208 QUINCY AVEKansas City, MO 64137-2504

Mailing Address11208 Quincy AveKansas City, MO 64137-2504 · (816) 763-8400 · Fax (816) 765-8403

Phone(816) 763-8400

Fax(816) 765-8403

Sole ProprietorYes

Enumeration DateApril 7, 2006

Last NPPES UpdateMay 27, 2015

✔ NPI 1497718969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MO · 13939

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

11208 QUINCY AVE, Kansas City, MO 64137

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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)

Mitchell Blacker 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 64137 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

$85.82 typical visit price

range $55.29 – $168.52

Typical copayment $21.45 (range $13.82 – $42.13)

Most-billed visit code 99203

Established Patient

$69.10 typical visit price

range $17.60 – $137.20

Typical copayment $17.27 (range $4.40 – $34.30)

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 2

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

DR. KYLE Z BLACKER DDS

Dentist (General Practice)

11208 QUINCY AVE
KANSAS CITY, MO 64137

Jackson County (816) 763-8400

BLACKER FAMILY DENTAL LLC

Dentist (General Practice)

11208 QUINCY AVE
KANSAS CITY, MO 64137

Jackson County (816) 763-8400

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 Mitchell Blacker's NPI number?

The NPI number for Mitchell Blacker is 1497718969. It was assigned to this individual provider in the NPPES registry on April 7, 2006.

Where is Mitchell Blacker located?

Mitchell Blacker practices at 11208 Quincy Ave, Kansas City, MO 64137. The listed phone number is (816) 763-8400.

What is Mitchell Blacker's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Mitchell Blacker enrolled in Medicare?

Yes. Mitchell Blacker is registered in the Medicare PECOS enrollment system.

What insurance does Mitchell Blacker accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 18 other insurers list Mitchell 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 Mitchell Blacker was last updated on May 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.