Susan Blackburn, D.D.S.
NPI 1760502785 · General Practice Dentistry · Kokomo, IN
Enrolled with Medicare as Order and Referring Only - Other (physician) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Susan Blackburn, D.D.S. is a General Practice Dentistry provider in Kokomo, IN (NPI 1760502785).
Provider details
- NPI number
- 1760502785
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Female
- Sole proprietor
- No
- License
- 12007734A (IN)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Registry dates
- Enumerated
- 2007-03-31
- Last updated
- 2007-07-08
Frequently asked questions
- What is Susan Blackburn's NPI number?
- Susan Blackburn's National Provider Identifier (NPI) is 1760502785, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Susan Blackburn's specialty?
- Susan Blackburn is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Susan Blackburn located?
- Susan Blackburn's practice location on file with NPPES is 200 S Dixon Rd, Kokomo, IN 46901-5073.
- What is Susan Blackburn's phone number?
- The practice phone number listed in the NPPES registry for Susan Blackburn is (765) 456-3015.
- Does Susan Blackburn accept Medicare?
- Susan Blackburn is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Susan Blackburn's NPI active?
- Yes — Susan Blackburn's NPI (1760502785) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.