IndividualActive
Jason Blackham, DMD
NPI 1437132537 · General Practice Dentistry · Travis Afb, CA
Jason Blackham, DMD is a General Practice Dentistry provider in Travis Afb, CA (NPI 1437132537).
Provider details
- NPI number
- 1437132537
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- 264631-9922 (UT)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
60 Mdg/Sgic
101 Bodin Cir
Travis Afb, CA 94535-1800
Phone: (707) 423-7083
Fax: (707) 423-7117
Approximate (ZIP-level) locationGet directions
Mailing address
101 Bodin Cir
Travis Afb, CA 94535-1809
Registry dates
- Enumerated
- 2005-11-22
- Last updated
- 2020-01-31
- Certified
- 2020-01-31
Frequently asked questions
- What is Jason Blackham's NPI number?
- Jason Blackham's National Provider Identifier (NPI) is 1437132537, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jason Blackham's specialty?
- Jason Blackham is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Jason Blackham located?
- Jason Blackham's practice location on file with NPPES is 60 Mdg/Sgic, Travis Afb, CA 94535-1800.
- What is Jason Blackham's phone number?
- The practice phone number listed in the NPPES registry for Jason Blackham is (707) 423-7083.
- Is Jason Blackham's NPI active?
- Yes — Jason Blackham's NPI (1437132537) is active in the NPPES registry as of the last update on 2020-01-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.