DR. MARY BLAKELEY DDS
NPI 1821184821
Dentist - General Practice in Lone Tree, CO

Active since October 05, 2006PECOS Enrolled
9400 STATION ST, SUITE 175, LONE TREE, CO 80124(303) 779-2797(303) 779-2687 Get Directions Write a Review

NPPES record last updated: September 26, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Mary Blakeley Dds NPPES

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

DR. MARY BLAKELEY DDS (NPI 1821184821) is an individual general practice provider in Lone Tree, Colorado, licensed in Colorado (7608) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821184821
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MARY BLAKELEYCredential: DDS
Location Address9400 STATION ST, SUITE 175Lone Tree, CO 80124-6808
Mailing Address9400 Station St, Suite 175Lone Tree, CO 80124-6808 · (303) 779-2797 · Fax (303) 779-2687
Fax(303) 779-2687
Sole ProprietorNo
Enumeration DateOctober 5, 2006
Last NPPES UpdateSeptember 26, 2014
NPI 1821184821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CO · 7608
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.
9400 STATION ST, Lone Tree, CO 80124

Other Names 1

Former Name (1)Mary Gross Kissinger Dds

Accepted 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. Mary Blakeley 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 80124 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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 6

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

Dentist (General Practice)
9400 STATION ST
LONE TREE, CO 80124
Optometrist
9400 STATION ST, SUITE 150
LONETREE, CO 80124
Dentist (Pediatric Dentistry)
9400 STATION ST, SUITE 100
LONE TREE, CO 80124
Optometrist
9400 STATION ST, SUITE 150
LONETREE, CO 80124
Optometrist
9400 STATION ST, SUITE 150
LONETREE, CO 80124
Dentist (Endodontics)
9400 STATION ST, STE 175
LONE TREE, CO 80124

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 Mary Blakeley's NPI number?

The NPI number for Mary Blakeley is 1821184821. It was assigned to this individual provider in the NPPES registry on October 5, 2006. The provider is also known as Mary Gross Kissinger Dds.

Where is Mary Blakeley located?

Mary Blakeley practices at 9400 Station St Suite 175, Lone Tree, CO 80124. The listed phone number is (303) 779-2797.

What is Mary Blakeley's specialty?

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

Is Mary Blakeley enrolled in Medicare?

Yes. Mary Blakeley is registered in the Medicare PECOS enrollment system.

What insurance does Mary Blakeley accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental and 1 other insurer list Mary Blakeley 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 Mary Blakeley was last updated on September 26, 2014. 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.