IndividualActive
Jacob Blackmon, CCP
NPI 1053130930 · Perfusionist · Dallas, TX
Jacob Blackmon, CCP is a Perfusionist provider in Dallas, TX (NPI 1053130930).
Provider details
- NPI number
- 1053130930
- Entity type
- Individual
- Primary specialty
- PerfusionistTechnologists, Technicians & Other Technical Service Providers
- Credential
- CCP
- Sex
- Male
- Sole proprietor
- No
- License
- 199052 (TX)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8200 Walnut Hill Ln
Dallas, TX 75231-4402
Phone: (214) 345-6789
Street-level locationGet directions
Mailing address
2106 Oakcrest Ct
Corinth, TX 76210-8855
Registry dates
- Enumerated
- 2024-10-07
- Last updated
- 2024-10-07
- Certified
- 2024-10-07
Frequently asked questions
- What is Jacob Blackmon's NPI number?
- Jacob Blackmon's National Provider Identifier (NPI) is 1053130930, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacob Blackmon's specialty?
- Jacob Blackmon is listed in the NPPES registry with a primary specialty of Perfusionist (Technologists, Technicians & Other Technical Service Providers).
- Where is Jacob Blackmon located?
- Jacob Blackmon's practice location on file with NPPES is 8200 Walnut Hill Ln, Dallas, TX 75231-4402.
- What is Jacob Blackmon's phone number?
- The practice phone number listed in the NPPES registry for Jacob Blackmon is (214) 345-6789.
- Is Jacob Blackmon's NPI active?
- Yes — Jacob Blackmon's NPI (1053130930) is active in the NPPES registry as of the last update on 2024-10-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.