DR. NINA A BLACKHURST D.M.D.
NPI 1558780775
Dentist - General Practice in Philadelphia, PA

Active since April 15, 2014
2200 ARCH ST STE 102, PHILADELPHIA, PA 19103(302) 723-2403 Get Directions Write a Review

NPPES record last updated: April 29, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Nina A Blackhurst D.m.d. NPPES

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

DR. NINA A BLACKHURST D.M.D. (NPI 1558780775) is an individual general practice provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (DS039585) and active in the NPI registry since April 2014. She maintains a secondary practice location in Broomall.

NPPES Registry Identity

NPI1558780775
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. NINA A BLACKHURSTCredential: D.M.D.
Location Address2200 ARCH ST STE 102Philadelphia, PA 19103
Mailing Address1123 S 23rd StPhiladelphia, PA 19146-2835 · (302) 723-2403
Sole ProprietorNo
Enumeration DateApril 15, 2014
Last NPPES UpdateApril 29, 2019
NPI 1558780775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in PA · DS039585
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.
2200 ARCH ST STE 102, Philadelphia, PA 19103

Secondary Practice Location 1

Location 139 N Sproul RdBroomall, PA 19008-2512 · Phone (610) 356-8011

Accepted Insurance

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.

Dentist
2200 ARCH ST STE 102
PHILADELPHIA, PA 19103
Dentist
2200 ARCH ST STE 102
PHILADELPHIA, PA 19103

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 Nina Blackhurst's NPI number?

The NPI number for Nina Blackhurst is 1558780775. It was assigned to this individual provider in the NPPES registry on April 15, 2014.

Where is Nina Blackhurst located?

Nina Blackhurst practices at 2200 Arch St Ste 102, Philadelphia, PA 19103. The listed phone number is (302) 723-2403.

What is Nina Blackhurst's specialty?

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

What insurance does Nina Blackhurst accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Nina Blackhurst 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 Nina Blackhurst was last updated on April 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.