DR. MISTY MICHELLE BLACK


Address: 1000 W Carson St, Oral Surgery Box 19, Torrance, CA 90502-2004
Phone: 3106684675

DR. MISTY MICHELLE BLACK (NPI# 1194954180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194954180
Entity Type Individual
Full Name DR. MISTY MICHELLE BLACK
Credential D.D.S.
Practice Address 1000 W Carson St
Oral Surgery Box 19
Torrance
CA 90502-2004
Mailing Address 1509 Hawthrone Blvd. Ste #102
Redondo Beach
CA 90278
Practice Telephone 3106684675
Mailing Telephone 3103765252
Mailing Fax Number 3103765757
Enumeration Date 2009-07-10
Last Update Date 2017-01-05
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
59622 CA Dental Providers
N 1223G0001X Dentist
Specialization: General Practice
390200000X CA Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA STUDENT, HEALTH CARE 390200000X 01

Other Providers MISTY BLACK

NPI Name Taxonomy Address Enumeration
1952628281 Misty Dawn Black Respiratory Therapist, Certified 105 Chandler Way, Saint Marys, GA 31558-2935 2010-04-26
1043386220 Misty Renae Black Physical Therapist 795 Farmers Ln, Ste 10, Santa Rosa, CA 95405-6718 2006-11-28

Office Location

Street Address 1000 W CARSON ST
ORAL SURGERY BOX 19
City TORRANCE
State CA
Zip Code 90502-2004

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255324885 Timothy L Vannatta Surgery 1000 W Carson St, Box 42, Torrance, CA 90502-2004 2005-08-30
1396354825 Jonica Marie Rivas (gonzalez) Registered Nurse 1000 W Carson St, Torrance, CA 90502-2004 2020-07-30
1871102475 Ronald Calderon Student in an Organized Health Care Education/Training Program 1000 W Carson St, Torrance, CA 90502-2004 2020-07-29
1396353058 Stephanie Munoz Student in an Organized Health Care Education/Training Program 1000 W Carson St, Torrance, CA 90502-2004 2020-07-20
1720606247 Fabiola Saucedo Macias Student in an Organized Health Care Education/Training Program 1000 W Carson St, Torrance, CA 90502-2004 2020-07-10
1235755489 Haya Nemtzov Nurse Practitioner 1000 W Carson St, Torrance, CA 90502-2059 2020-06-24
1588280945 Ana Gabriela Vargas Garcia Student in an Organized Health Care Education/Training Program 1000 W Carson St, Torrance, CA 90502-2004 2020-06-22
1699397984 Edmond Ebubechukwu Onwukwe Student in an Organized Health Care Education/Training Program 1000 W Carson St, Torrance, CA 90502-2004 2020-05-11
1902428238 Jared Joshua Johnson Student in an Organized Health Care Education/Training Program 1000 W Carson St, Torrance, CA 90502-2059 2020-05-08
1427679356 Jonathan Rodney Student in an Organized Health Care Education/Training Program 1000 W Carson St, Torrance, CA 90502-2004 2020-05-01
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992319149 Gia Chodzen Student in an Organized Health Care Education/Training Program Harbor-ucla Dmh, 1000 W Carson St, #488, Torrance, CA 90502 2020-09-04
1750994919 Desiree Elise Cervantes Social Worker Harbor Ucla Medical Center, 1000 West Carson Street, Torrance, CA 90502 2020-08-27
1205448644 Tabitha Tamara Black Student in an Organized Health Care Education/Training Program Harbor Ucla Dmh 1000 W Carson Street, Number 488, Torrance, CA 90502 2020-08-18
1538718531 Harbor-ucla Dmh Student in an Organized Health Care Education/Training Program Harbor-ucla Dmh, 1000 W Carson St Box #498, Torrance, CA 90502 2019-09-11
1891345831 Sydney Del Carmen Wheat Student in an Organized Health Care Education/Training Program 1000 W Carson St Box #488, Torrance, CA 90502 2019-09-11
1467971283 Grace Y Kim Student in an Organized Health Care Education/Training Program Lacdmh Hucla 1000 W. Carson Street, Torrance, CA 90502 2017-09-13
1619498631 Shauntel Locus Case Manager/Care Coordinator 1124 W. Carson Street, Torrance, CA 90502 2017-06-29
1740700079 Charlise Brown-scranton Registered Nurse 711 W. Del Amo Blvd, Torrance, CA 90502 2017-06-27
1497280978 C Edward Villasenor Castelo Specialist 1000 W Carson St # D5, Torrance, CA 90502 2017-04-21
1114464393 Brissa Giron Counselor 19401 Vermont Ave, Suite C100, Torrance, CA 90502 2017-01-25
Find all providers in zip 90502

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831717230 Daniel Inouye Dentist 22850 Crenshaw Blvd Ste 102, Torrance, CA 90505-3055 2020-07-12
1174143747 Dunlap Dentistry Dentist 3400 Lomita Blvd Ste 406, Torrance, CA 90505-4991 2020-04-23
1760953772 O.h. Barkhordar Dental Group, Inc Dentist 23609 Hawthorne Blvd Ste B, Torrance, CA 90505-5903 2018-12-17
1790270486 Juste Karvelyte Dentist 3500 Lomita Blvd Ste 201, Torrance, CA 90505 2018-06-26
1891288890 Ehab Samaan Dds Inc Dentist 19019 Hawthorne Blvd Ste 100b, Torrance, CA 90503 2018-06-13
1164941068 Angela Beatrice Fedonenko Dentist 2171 Torrance Blvd Ste 1, Torrance, CA 90501-2657 2017-09-12
1649796038 Chan & Huang Dental Partnership Dentist 3640 Lomita Blvd., #208, Torrance, CA 90505 2017-08-17
1063949493 Ahmad Zafar Karimi Dentist 4906 Halison St, Torrance, CA 90503-2048 2017-05-16
1306370796 Steven Yun Dentist 2740 Arlington Ave Apt G, Torrance, CA 90501-7612 2017-04-12
1013467463 Javid Dental Corporation Dentist 24667 Crenshaw Blvd, Suite D, Torrance, CA 90505-5360 2016-10-10
Find all providers in TORRANCE

Competitor

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City TORRANCE
Zip Code 90502

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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