Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Smiles By Dr. Blackmon

General Practice Dentistry in Shaker Heights, OH · enumerated 2014 · authorized official Lisa Blackmon, Owner/Dentist.

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

National Provider Identifier

1306260401

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Registry record

Entity type Organization (Type 2)

Legal business name Smiles By Dr. Blackmon

Practice address 20119 Van Aken Blvd Ste 211, Shaker Heights, OH, 44122

Phone (216) 848-1420

Fax (216) 848-1400

Enumeration date Feb 10, 2014

Last updated in NPPES Feb 10, 2014

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers · License 30-020813 (OH) Primary

Authorized official

Name Lisa Blackmon

Title Owner/Dentist

Phone (216) 848-1420

Other identifiers

Identifier	Type	State	Issuer
2066580	Medicaid	OH	-

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.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2014-02-10. Verify at npiregistry.cms.hhs.gov.

Where is Smiles By Dr. Blackmon located?

The practice location on file with NPPES is in Shaker Heights, OH.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-02-10.