IndividualActive
Doctor Micah J'King Blaze, DMD
NPI 1124681069 · Dentist · Cincinnati, OH
Provider details
- NPI number
- 1124681069
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Dental Providers
Student, Health Care
Dental Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
83% 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
5 E Liberty St
Cincinnati, OH 45202-8202
Phone: (513) 721-6060
Street-level locationGet directions
Mailing address
518 6th St
Campbell, OH 44405-1140
Registry dates
- Enumerated
- 2019-04-16
- Last updated
- 2025-02-10
- Certified
- 2025-02-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.