Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dennis Sidney Blackstad, DO

Family Medicine Physician in Broken Arrow, OK · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1710040894

Verified

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Registry record

Entity type Individual (Type 1)

Name Dennis Sidney Blackstad

Credential DO

Sex Male

Practice address 511 N Aspen Ave, Broken Arrow, OK, 74012

Phone (918) 806-8050

Fax (918) 995-3773

Enumeration date Dec 19, 2006

Last updated in NPPES May 24, 2026

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 3650 (OK) Primary

207P00000X Emergency Medicine Physician Allopathic & Osteopathic Physicians · License 3650 (OK) Secondary

DO · Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential

Other identifiers

Identifier	Type	State	Issuer
100171140A	Medicaid	OK	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Dennis Blackstad?

The National Provider Identifier (NPI) for Dennis Blackstad is 1710040894, a Type 1 (individual) record in the CMS NPPES registry.

Where does Dennis Blackstad practice?

The practice location on file with NPPES is in Broken Arrow, OK. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Better Living Medical Equipment & Repair LLC Durable Medical Equipment & Medical Supplies · Broken Arrow, OK NPI 1760424535 Charger Health Group Pllc Family Medicine Physician · Broken Arrow, OK NPI 1346855640

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-05-24.