Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Dennis Sidney Blackstad, DO

Individual provider Family Medicine Physician · NPI 1710040894

Dennis Sidney Blackstad, DO is registered under Family Practice in Broken Arrow, Oklahoma. Graduated from Oklahoma State University College of Osteopathic Medicine in 2002, 24 years ago. Works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Oklahoma.

Years since qualifying
24
Trained at
Oklahoma State University College of Osteopathic Medicine
Licensed in
OK
In the registry since
2006
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

511 N Aspen Ave
Broken Arrow, OK 74012-2220
Phone: (918) 806-8050
Fax: (918) 995-3773
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11495 S State Highway 51, Coweta, OK 74429-7138 — (918) 727-2780

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 3650 (OK)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 3650 (OK)

Record details

NPI number1710040894
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedDecember 19, 2006
Last updated in NPPESMay 24, 2026
Certification dateMay 24, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesEMERGENCY MEDICINE
Medical schoolOKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients32
Services billed 33 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Other providers in Broken Arrow