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DR. RICHARD BLACKBURN DMD
NPI 1891215760
Dentist in Los Alamitos, CA

Active since June 22, 2017PECOS Enrolled
3532 HOWARD AVE STE 200, LOS ALAMITOS, CA 90720(562) 501-3188 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 6, 2026, Jun 13, 2023, Nov 26, 2021 and 3 more (6 updates tracked since 2017).

About Dr. Richard Blackburn Dmd NPPES

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

DR. RICHARD BLACKBURN DMD (NPI 1891215760) is an individual dentist in Los Alamitos, California, licensed in California (104972) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and is a graduate of Midwestern University College Of Dental Medicine, Glendale (2017).

NPPES Registry Identity

NPI1891215760
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. RICHARD BLACKBURNCredential: DMD
Location Address3532 HOWARD AVE STE 200Los Alamitos, CA 90720-3699
Mailing Address3532 Howard Ave Ste 200Los Alamitos, CA 90720-3699 · (562) 596-7484
Phone(562) 501-3188
Sole ProprietorNo
Medical School CMSMidwestern University College Of Dental Medicine, GlendaleGraduated 2017
Enumeration DateJune 22, 2017
Last NPPES UpdateMarch 6, 20266 updates tracked since enumeration
NPPES CertifiedMarch 6, 2026
✔ NPI 1891215760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 11

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 104972
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.
Also ListedDentist · Dentist AnesthesiologistTaxonomy 1223D0004X · License 104972 (CA)
Also ListedDentist · EndodonticsTaxonomy 1223E0200X · License 104972 (CA)
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 104972 (CA)
Also ListedDentist · Oral and Maxillofacial PathologyTaxonomy 1223P0106X · License 104972 (CA)
Also ListedDentist · PeriodonticsTaxonomy 1223P0300X · License 104972 (CA)
Also ListedDentist · ProsthodonticsTaxonomy 1223P0700X · License 104972 (CA)
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 104972 (CA)
Also ListedDentist · Oral and Maxillofacial RadiologyTaxonomy 1223X0008X · License 104972 (CA)
Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X · License 104972 (CA)
Also ListedDentist · Orofacial PainTaxonomy 1223X2210X · License 104972 (CA)
3532 HOWARD AVE STE 200, Los Alamitos, CA 90720
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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. Richard Blackburn Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466843412
PECOS Enrollment IDI20211229001706
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
58 services52 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90720 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

RICHARD BLACKBURN DMD, INC
Dentist
3532 HOWARD AVE STE 200
LOS ALAMITOS, CA 90720
Orange County (562) 596-7484
BLACKBURN WC DMD
Dentist
3532 HOWARD AVE STE 200
LOS ALAMITOS, CA 90720
Orange County (562) 596-7484

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 Richard Blackburn's NPI number?

The NPI number for Richard Blackburn is 1891215760. It was assigned to this individual provider in the NPPES registry on June 22, 2017.

Where is Richard Blackburn located?

Richard Blackburn practices at 3532 Howard Ave Ste 200, Los Alamitos, CA 90720. The listed phone number is (562) 501-3188.

What is Richard Blackburn's specialty?

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

Is Richard Blackburn enrolled in Medicare?

Yes. Richard Blackburn is registered in the Medicare PECOS enrollment system.

What insurance does Richard Blackburn accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 3 other insurers list Richard Blackburn 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 Richard Blackburn was last updated on March 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.