OrganizationActive
Smiles By Dr. Blackmon
NPI 1306260401 · General Practice Dentistry · Shaker Heights, OH
Smiles By Dr. Blackmon is a General Practice Dentistry organization in Shaker Heights, OH (NPI 1306260401).
Provider details
- NPI number
- 1306260401
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Lisa Blackmon, Owner/Dentist(216) 848-1420
- License
- 30-020813 (OH)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs 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
20119 Van Aken Blvd Ste 211
Shaker Heights, OH 44122-3636
Phone: (216) 848-1420
Fax: (216) 848-1400
Street-level locationGet directions
Mailing address
20119 Van Aken Blvd Ste 211
Shaker Heights, OH 44122-3636
Registry dates
- Enumerated
- 2014-02-10
- Last updated
- 2014-02-10
Frequently asked questions
- What is Smiles By Dr. Blackmon's NPI number?
- Smiles By Dr. Blackmon's National Provider Identifier (NPI) is 1306260401, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Smiles By Dr. Blackmon?
- Smiles By Dr. Blackmon is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Smiles By Dr. Blackmon located?
- Smiles By Dr. Blackmon's practice location on file with NPPES is 20119 Van Aken Blvd Ste 211, Shaker Heights, OH 44122-3636.
- What is Smiles By Dr. Blackmon's phone number?
- The practice phone number listed in the NPPES registry for Smiles By Dr. Blackmon is (216) 848-1420.
- Who is the authorized official for Smiles By Dr. Blackmon?
- The authorized official listed on Smiles By Dr. Blackmon's NPPES record is Lisa Blackmon, Owner/Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Smiles By Dr. Blackmon's NPI active?
- Yes — Smiles By Dr. Blackmon's NPI (1306260401) is active in the NPPES registry as of the last update on 2014-02-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.