DR. TYSON BLACK (NPI# 1679733885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679733885 |
| Entity Type | Individual |
| Full Name | DR. TYSON BLACK |
| Credential | D.M.D. |
| Practice Address |
2650 North Ave Unit 101 Grand Junction CO 81501-6403 |
| Practice Telephone | 9702551222 |
| Practice Fax Number | 9702548097 |
| Mailing Telephone | 9702551222 |
| Mailing Fax Number | 9702548097 |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2009-02-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 5562073-9921 | UT | Dental Providers |
| Street Address |
2650 NORTH AVE UNIT 101 |
| City | GRAND JUNCTION |
| State | CO |
| Zip Code | 81501-6403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467772244 | Nicolas Gandola | Dentist | 2650 North Ave Unit 101, Grand Junction, CO 81501-6403 | 2010-06-03 |
| 1437383205 | Embraceable LLC | Dentist | 2650 North Ave Unit 101, Grand Junction, CO 81501-6403 | 2009-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700430261 | Brianne Tanae Harper | Physician Assistant | 2530 N 8th St Suite 205, Grand Junction, CO 81501 | 2019-08-01 |
| 1497318059 | Shellen H Pinnt | Counselor | 660 White Avene, Grand Junction, CO 81501 | 2019-04-19 |
| 1477011658 | Gaylene Ludwig | Counselor | 622 Rood Ave, Grand Junction, CO 81501 | 2019-03-07 |
| 1639676158 | Chris De Bruin | Counselor | Grand Junction Metro Treatment Center, 1001 Wellington Ave, Grand Junction, CO 81501 | 2018-04-11 |
| 1568971125 | Michael Sprague | Counselor | 1001 Wellington Avenue, Grand Junction, CO 81501 | 2017-09-27 |
| 1609393560 | Karin Vandervelde | Midwife | 2241 7th Street, Bloomin' Babies Birth Center, Grand Junction, CO 81501 | 2017-08-23 |
| 1225550361 | Critical Nurse Staffing, LLC | Home Health | 1114 N 1st St, Suite 200, Grand Junction, CO 81501 | 2017-07-11 |
| 1003344094 | Mac Aarron Fish | Counselor | 622 Rood Ave Ste C, Grand Junction, CO 81501 | 2017-06-02 |
| 1467994566 | A New Life Counseling, Inc | Counselor | 623 North 8th St, Grand Junction, CO 81501 | 2016-11-07 |
| 1801342597 | Paragon Restoration & Building, Inc. | Contractor | 205 S. 15th St., Grand Junction, CO 81501 | 2016-09-01 |
| Find all providers in zip 81501 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225562960 | Kit W Haddow, Dds | Dentist | 1910 N 12th St Ste C, Grand Junction, CO 81501-2934 | 2017-04-19 |
| 1003369125 | Alan Max Jones | Dentist | 2532 Patterson Rd Ste 1, Grand Junction, CO 81505-3607 | 2016-07-25 |
| 1083029821 | Andrew Foster | Dentist | 2650 North Ave Ste 101-102, Grand Junction, CO 81501-6405 | 2014-06-30 |
| 1881029650 | Julie A Benjamin | Dentist | 2412 Patterson Rd Ste 1, Grand Junction, CO 81505-1259 | 2013-09-11 |
| 1710312046 | Matthew A Hudson, Dmd, PC | Dentist | 132 Walnut Ave Ste B, Grand Junction, CO 81501-7483 | 2013-09-05 |
| 1194021592 | Richard Frank Gilmore | Dentist | 2271 Fernwood Ct, Grand Junction, CO 81506-6062 | 2011-02-01 |
| 1912136482 | Brandon Rodney Wilcox | Dentist | 2412 Patterson Rd Ste 7, Grand Junction, CO 81505-1259 | 2009-07-06 |
| 1447484084 | James Mercer Tarr | Dentist | 2531 W Pinyon Ave, Grand Junction, CO 81505-6949 | 2009-05-11 |
| 1457507626 | Nadine M Hutchins Dds PC | Dentist | 2352 N 7th Street, Suite 4, Grand Junction, CO 81501 | 2008-08-07 |
| 1578768313 | James D Bradley | Dentist | 2650 North Ave, Ste 101, Grand Junction, CO 81501-6405 | 2007-06-20 |
| Find all providers in GRAND JUNCTION | ||||
| City | GRAND JUNCTION |
| Zip Code | 81501 |
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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.