Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
DR. RICHARD BLACKBURN
Active
Individual
DR. RICHARD BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
104972
CA
1223D0004X
Dental Anesthesiology
104972
CA
1223E0200X
Endodontics
104972
CA
1223G0001X
General Practice Dentistry
104972
CA
1223P0106X
Oral and Maxillofacial Pathology Dentistry
104972
CA
1223P0300X
Periodontics
104972
CA
1223P0700X
Prosthodontics
104972
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
104972
CA
1223X0008X
Oral and Maxillofacial Radiology Dentistry
104972
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
104972
CA
1223X2210X
Orofacial Pain Dentistry
104972
CA
Other
Enumeration date
06/22/2017
Last updated
03/06/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up