DR. MAUREEN MIKHO BLACKBURN DDS
NPI 1902334006
Dentist in Kalamazoo, MI

Q: What is Maureen Blackburn's NPI number?

The NPI number for Maureen Blackburn is 1902334006. It was assigned to this individual provider in the NPPES registry on June 1, 2017.

Q: What is Maureen Blackburn's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Maureen Blackburn was last updated on May 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 June 01, 2017PECOS Enrolled

117 W PATERSON ST, KALAMAZOO, MI 49007(269) 349-2641 Get Directions Write a Review

NPPES record last updated: May 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 10, 2020, Nov 20, 2018, Jun 1, 2017 (3 updates tracked since 2017).

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About Dr. Maureen Mikho Blackburn Dds NPPES

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

DR. MAUREEN MIKHO BLACKBURN DDS (NPI 1902334006) is an individual dentist in Kalamazoo, Michigan, licensed in Michigan (2901022231) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902334006

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. MAUREEN MIKHO BLACKBURNCredential: DDS

Location Address117 W PATERSON STKalamazoo, MI 49007-2581

Mailing Address117 W Paterson StKalamazoo, MI 49007-2557 · (269) 349-2641 · Fax (269) 201-2855

Phone(269) 349-2641

Sole ProprietorNo

Enumeration DateJune 1, 2017

Last NPPES UpdateMay 23, 20243 updates tracked since enumeration

NPPES CertifiedMay 23, 2024

✔ NPI 1902334006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MI · 2901022231

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.

117 W PATERSON ST, Kalamazoo, MI 49007

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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. Maureen Mikho 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 49007 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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 20

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

SUSAN MARIE PEREZ NP

Nurse Practitioner (Pediatrics)