EDWARD E BLACK DDS,MS,INC (NPI# 1508010497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508010497 |
Entity Type | Organization |
Organization Name | EDWARD E BLACK DDS,MS,INC |
Practice Address |
3015 Crenshaw Blvd Suite C Los Angeles CA 90016-4264 |
Practice Telephone | 3237341534 |
Practice Fax Number | 3237344693 |
Mailing Telephone | 3237341534 |
Mailing Fax Number | 3237344693 |
Enumeration Date | 2008-11-05 |
Last Update Date | 2008-11-05 |
Authorized Official Name | MARIA ORELLANA (OFFICE MANAGER) |
Authorized Official Telephone | 3237341534 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
17879 | CA | Dental Providers |
Street Address |
3015 CRENSHAW BLVD SUITE C |
City | LOS ANGELES |
State | CA |
Zip Code | 90016-4264 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871631622 | James T. Black, Dds A Professional Dental Corporation | Dentist | 3015 Crenshaw Blvd, Los Angeles, CA 90016-4264 | 2007-02-02 |
1730540956 | Nehikhare Ogbevoen | Dentist | 3015 Crenshaw Blvd, Suite B, Los Angeles, CA 90016-4264 | 2016-03-16 |
1366637704 | Robert Johnson | Dentist | 3015 Crenshaw Blvd, Los Angeles, CA 90016-4264 | 2007-09-10 |
1346447018 | Debbie Renee Ballenger | Dentist | 3015 Crenshaw Blvd, Los Angeles, CA 90016-4264 | 2007-06-27 |
1801092648 | James Tillman Black Jr. | Dentist | 3015 Crenshaw Blvd, Los Angeles, CA 90016-4264 | 2007-06-26 |
1467570234 | James Tillman Black Sr. | Dentist | 3015 Crenshaw Blvd, Suite A, Los Angeles, CA 90016-4264 | 2007-03-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790334134 | Rodef & Yousefi Dental Corporation | Dentist | 3736 Crenshaw Blvd, Los Angeles, CA 90016 | 2019-09-09 |
1891278016 | Harold Ringgold Jr. | Counselor | 5220 Washington Ste 101 &104, Los Angeles, CA 90016 | 2018-09-13 |
1477085330 | Nyul Aegd | Student in an Organized Health Care Education/Training Program | 3743 S Labrea Avenue, Los Angeles, CA 90016 | 2017-03-30 |
1770978876 | Alexander Delacruz Jr. | Nutritionist | 2336 Crenshaw Blvd, Suite 101, Los Angeles, CA 90016 | 2015-04-06 |
1518358670 | Henry Bratton | Counselor | 2017 Westview Street, Los Angeles, CA 90016 | 2015-02-11 |
1063819084 | Karina Ann Chandler-ziegler | Counselor | 5220 Washington Street, Ste. 101, Los Angeles, CA 90016 | 2014-11-20 |
1801299136 | Smith Medical Management | Clinical Medical Laboratory | 2953 Palm Grove Ave, Los Angeles, CA 90016 | 2014-10-01 |
1366844144 | No Dorm Inc. | Assisted Living Facility | 5222 Washington Blvd., Los Angeles, CA 90016 | 2014-09-23 |
1891120853 | Margaret Yarbrough | General Practice | 3717 S. Labrea, #341, Los Angeles, CA 90016 | 2013-09-10 |
1821422346 | Circle of Help Foundation | Community/Behavioral Health | 4701 Rodeo Rd., Room #2, #3, Los Angeles, CA 90016 | 2013-09-03 |
Find all providers in zip 90016 |
Taxonomy Code | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Surgery |
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518506773 | Francisco Suarez, Dds Inc. | Dentist | 4606 Hollywood Blvd Ste A, Los Angeles, CA 90027-5462 | 2020-01-04 |
1346803897 | Jason Yoo Dds Inc | Dentist | 3660 Wilshire Blvd Ste 102, Los Angeles, CA 90010-2716 | 2019-04-19 |
1003384579 | David Cedeno Md Dds Professional Corporation | Dentist | 1127 Wilshire Blvd Ste 1510, Los Angeles, CA 90017-4006 | 2018-11-02 |
1043747827 | California Oral & Facial Surgery, Inc. | Dentist | 2610 W Olympic Blvd # 200, Los Angeles, CA 90006-2807 | 2017-05-11 |
1699168583 | Michael Issakharian | Dentist | 936 Crenshaw Blvd Ste 101, Los Angeles, CA 90019-1948 | 2015-03-16 |
1962829143 | California Oral & Facial Surgery, Inc. | Dentist | 2610 W Olympic Blvd Ste 200, Los Angeles, CA 90006-2807 | 2014-03-25 |
1447697107 | Samuel Liu | Dentist | 11600 Wilshire Blvd Ste 316, Los Angeles, CA 90025 | 2013-06-04 |
1215291059 | Steve Lim | Dentist | 722 S Los Angeles St Apt 415, Los Angeles, CA 90014-4507 | 2012-06-26 |
1952663080 | William H Noh | Dentist | 3640 Wilshire Blvd Apt 236, Los Angeles, CA 90010-2644 | 2012-06-14 |
1225322019 | Kevin Coppelson | Dentist | 10921 Wilshire Blvd Ste 912, Los Angeles, CA 90024 | 2011-06-08 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90016 |
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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.