Shane Kyle Blacker, DDS
Orthodontics and Dentofacial Orthopedics Dentistry · Tempe, AZ
Shane Kyle Blacker, DDS is an orthodontics and dentofacial orthopedics dentistry with a practice address in Tempe, Arizona, and NPI 1184892473, issued on Feb 20, 2008. Check the license (Arizona 6210, as entered in NPPES) with the Arizona board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Shane Kyle Blacker
- Credential
- DDS
- Primary taxonomy
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License number
- 6210 AZ
Self-reported in NPPES; status is on the state search - Practice location
- 6200 S Mcclintock Dr Ste 11, Tempe, AZ 85283
- Phone
- (480) 839-6262
- Enumerated
- Feb 20, 2008
- Record last updated
- Feb 20, 2008 (not updated in 18 years: call before relying on the address or phone)
- Fax
- (480) 839-1029
- Entity
- Type 1 · individual
8 nearest orthodontics and dentofacial orthopedics dentistry records → All 263 in Arizona → Look up another NPI →
Verify Shane Kyle Blacker in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Arizona board licenses this profession
Search for license 6210Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $3,551.55
16 payments; by number, the most common kind was food and beverage; the largest payer was American Orthodontics Corporation. The 7,622 providers of this specialty with any payment received $1,641.73 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Shane Kyle Blacker among 263 orthodontics and dentofacial orthopedics dentistry records in Arizona
Shane Kyle Blacker, DDS is one of 263 orthodontics and dentofacial orthopedics dentistry records with a practice address in Arizona. 68% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2008, is newer than 51% of them.
- NPI issued2008 · 51% of these records are older, 42% newer
- In a Medicare fileYes · 68% of these records are
- In the CMS Doctors and Clinicians fileNo · 2% of these records are
- Record last updated2008 · 74% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1223X0400X and a Arizona practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Orthodontics and Dentofacial Orthopedics Dentistry providers in Arizona
There are 263 orthodontics and dentofacial orthopedics dentistry records in Arizona.
All 263 in Arizona → Every provider in Tempe → Orthodontics and Dentofacial Orthopedics Dentistry nationwide →
The 8 orthodontics and dentofacial orthopedics dentistry records with the nearest ZIP codes
- Stephanie Ellman, DDS, MSTempe, AZ 852831861358731
- Won-Woo Park, D.M.D., M.S.Tempe, AZ 852831386846442
- Louis Curtis, D.D.S.,M.STempe, AZ 852841689728719
- Alan Curtis, D.D.S., M.S.Tempe, AZ 852841326192469
- Chad FosterTempe, AZ 852841831414671
- Bradford Kess, D.D.S.Tempe, AZ 852821700961299
- Paul Lines, D.D.S.Tempe, AZ 852821013941459
- Murilo Neves, DDSChandler, AZ 852861720660384
Common questions
What is Shane Kyle Blacker, DDS's NPI number?
Shane Kyle Blacker, DDS's National Provider Identifier (NPI) is 1184892473, issued on Feb 20, 2008. An NPI identifies a provider in billing; it is not a license.
Where is Shane Kyle Blacker, DDS located?
The NPPES record lists a practice address at 6200 S Mcclintock Dr Ste 11, Tempe, AZ, 85283. Phone: (480) 839-6262. Providers update this record themselves, so call before visiting.
How can I verify Shane Kyle Blacker, DDS's license?
NPPES lists Arizona license number 6210, as entered by the provider. Search the Arizona board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.