DR. JEFFERSON THAIR BLACKBURN DDS
NPI 1760401913
Dentist in Midlothian, VA

Q: What is Jefferson Blackburn's NPI number?

The NPI number for Jefferson Blackburn is 1760401913. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Q: What is Jefferson Blackburn's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since July 19, 2006PECOS Enrolled

2301 ROBIOUS STATION CIR, MIDLOTHIAN, VA 23113(804) 378-7888 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 27, 2026.

On this page

About Dr. Jefferson Thair Blackburn Dds NPPES

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

DR. JEFFERSON THAIR BLACKBURN DDS (NPI 1760401913) is an individual dentist in Midlothian, Virginia, licensed in Virginia (6533) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760401913

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. JEFFERSON THAIR BLACKBURNCredential: DDS

Location Address2301 ROBIOUS STATION CIRMidlothian, VA 23113-2124

Mailing Address1907 Gildenborough CtMidlothian, VA 23113-6051 · (804) 378-7539

Phone(804) 378-7888

Sole ProprietorYes

Enumeration DateJuly 19, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1760401913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in VA · 6533

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

2301 ROBIOUS STATION CIR, Midlothian, VA 23113

Open in Google Maps ↗

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. Jefferson Thair Blackburn 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 23113 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

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 7

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

CHANG HUN LEE

Dentist