DR. EVAN BLACKWELL D.D.S.
NPI 1588072987
Dentist - Periodontics in Pflugerville, TX

Q: What is Evan Blackwell's NPI number?

The NPI number for Evan Blackwell is 1588072987. It was assigned to this individual provider in the NPPES registry on July 29, 2014.

Q: What is Evan Blackwell's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: When was this NPI record last updated?

The NPPES record for Evan Blackwell was last updated on July 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 July 29, 2014PECOS Enrolled

2911 A W GRIMES BLVD STE 106, PFLUGERVILLE, TX 78660(512) 337-2578 Get Directions Write a Review

NPPES record last updated: July 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 27, 2023, Aug 3, 2017 (2 updates tracked since 2017).

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About Dr. Evan Blackwell D.d.s. NPPES

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

DR. EVAN BLACKWELL D.D.S. (NPI 1588072987) is an individual periodontics provider in Pflugerville, Texas, licensed in Texas (32883) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588072987

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameDR. EVAN BLACKWELLCredential: D.D.S.

Location Address2911 A W GRIMES BLVD STE 106Pflugerville, TX 78660-5459

Mailing Address10430 Morado Cir Apt 2030Austin, TX 78759-5669

Phone(512) 337-2578

Sole ProprietorNo

Enumeration DateJuly 29, 2014

Last NPPES UpdateJuly 27, 20232 updates tracked since enumeration

NPPES CertifiedJuly 24, 2023

✔ NPI 1588072987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in TX · 32883

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Also ListedDentistTaxonomy 122300000X · License 32883 (TX), D10343 (OR)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2911 A W GRIMES BLVD STE 106, Pflugerville, TX 78660

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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. Evan Blackwell D.d.s. 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 78660 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

$89.03 typical visit price

range $57.88 – $174.00

Typical copayment $22.25 (range $14.47 – $43.50)

Most-billed visit code 99203

Established Patient

$71.95 typical visit price

range $18.88 – $142.23

Typical copayment $17.98 (range $4.72 – $35.55)

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 Evan Blackwell's NPI number?

The NPI number for Evan Blackwell is 1588072987. It was assigned to this individual provider in the NPPES registry on July 29, 2014.

Where is Evan Blackwell located?

Evan Blackwell practices at 2911 A W Grimes Blvd Ste 106, Pflugerville, TX 78660. The listed phone number is (512) 337-2578.

What is Evan Blackwell's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Evan Blackwell enrolled in Medicare?

Yes. Evan Blackwell is registered in the Medicare PECOS enrollment system.

What insurance does Evan Blackwell accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 14 other insurers list Evan Blackwell 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 Evan Blackwell was last updated on July 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.