Doctor profile · Federal record
Dr. Derek Blackwelder, DMD
Dentist · Winnisquam, NH
- NPI 1568459956
- 21 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
944 Laconia Road
Winnisquam, NH 03289
(603) 528-1212
fax (603) 528-1320 - Mailing address
-
Po Box 1020
Winnisquam, NH 032891020
Credentials & registration
- NPI registered
- September 2005 — 21 yrs on file
- Profile last updated
- April 5, 2016
- Specialty taxonomy
- 122300000X — NUCC code
- State license (1)
- New Hampshire #03600
- Medicaid (3)
- NM #24636371 · NH #3070586 · AZ #945719
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1568459956. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$150
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Align Technology, INC. | 1 | $150.00 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
22
Patients
21
Total drug cost
$64
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 22 | 21 | $64 |
Frequently asked questions
What is Dr. Derek Blackwelder's medical specialty?
Dr. Derek Blackwelder practices Dentist in Winnisquam, NH.
Where does Dr. Derek Blackwelder practice?
Dr. Derek Blackwelder practices at 944 Laconia Road, Winnisquam, NH 03289. Office phone: 6035281212.
What is Dr. Derek Blackwelder's NPI?
Dr. Derek Blackwelder's National Provider Identifier (NPI) is 1568459956, issued by NPPES.