Doctor profile · Federal record
Dr. Mitchell Blacker
General Practice Dentistry · Kansas City, MO
- NPI 1497718969
- 20 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
11208 Quincy Ave
Kansas City, MO 641372504
(816) 763-8400
fax (816) 765-8403
Credentials & registration
- NPI registered
- April 2006 — 20 yrs on file
- Profile last updated
- May 27, 2015
- Specialty taxonomy
- 1223G0001X — NUCC code
- State license (1)
- Missouri #13939
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1497718969. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$250
Transactions
5
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Align Technology, Inc. | 3 | $217.72 | |
| Dentsply Sirona Inc | 2 | $32.54 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
59
Patients
45
Total drug cost
$243
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 36 | 33 | $126 |
| Chlorhexidine Gluconate | Generic | 23 | 12 | $117 |
Frequently asked questions
What is Dr. Mitchell Blacker's medical specialty?
Dr. Mitchell Blacker practices General Practice Dentistry in Kansas City, MO.
Where does Dr. Mitchell Blacker practice?
Dr. Mitchell Blacker practices at 11208 Quincy Ave, Kansas City, MO 641372504. Office phone: 8167638400.
What is Dr. Mitchell Blacker's NPI?
Dr. Mitchell Blacker's National Provider Identifier (NPI) is 1497718969, issued by NPPES.