LEO F BLACK JR. (NPI# 1922080019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922080019 |
| Entity Type | Individual |
| Full Name | LEO F BLACK JR. |
| Credential | D.C. |
| Practice Address |
1301 Bertha Howe Ave Suite 1 Mesquite NV 89027-7502 |
| Practice Telephone | 7023460800 |
| Practice Fax Number | 7023460801 |
| Mailing Telephone | 7023460800 |
| Mailing Fax Number | 7023460801 |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | B355 | NV | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | LEO BLACK, DC | PIN#V38138 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386891042 | Leo F Black | Internal Medicine | 8244 Shady Grove Rd, Jacksonville, FL 32256-7361 | 2008-08-25 |
| Street Address |
1301 BERTHA HOWE AVE SUITE 1 |
| City | MESQUITE |
| State | NV |
| Zip Code | 89027-7502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356342364 | Michael Justin Gorman | Family Medicine | 1301 Bertha Howe Ave, Suite 1, Mesquite, NV 89027-7502 | 2005-08-02 |
| 1851767115 | John Vincent Rider | Occupational Therapist | 1301 Bertha Howe Ave, Suite 7, Mesquite, NV 89027-7502 | 2015-08-20 |
| 1902298243 | Aumbria Health and Aesthetics LLC | Internal Medicine | 1301 Bertha Howe Ave, Ste# 2, Mesquite, NV 89027-7502 | 2015-02-24 |
| 1750782736 | Brenda Sue Siolo | Nurse Practitioner | 1301 Bertha Howe Ave, Ste.1, Mesquite, NV 89027-7502 | 2014-09-10 |
| 1083900716 | Curtis Doug Jensen | Physical Therapist | 1301 Bertha Howe Ave, Suite 7, Mesquite, NV 89027-7502 | 2011-06-21 |
| 1801117239 | Matthew Tameichi Holt | Physical Therapist | 1301 Bertha Howe Ave, Suite 7, Mesquite, NV 89027 | 2010-06-21 |
| 1659695203 | Tracy Lynn Rodgers | Registered Nurse | 1301 Bertha Howe Ave, Ste 2, Mesquite, NV 89027-7502 | 2010-03-24 |
| 1669796314 | Erica Ann Garrett | Registered Nurse | 1301 Bertha Howe Ave, Ste 2, Mesquite, NV 89027-7502 | 2010-03-24 |
| 1124355243 | Advanced Wound Care Consultants LLC | Registered Nurse | 1301 Bertha Howe Ave, Suite 9, Mesquite, NV 89027-7502 | 2009-11-10 |
| 1467787192 | Alfaro Ltd | Specialist | 1301 Bertha Howe Ave, Suite 8, Mesquite, NV 89027-7502 | 2009-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194388439 | Michael Shay Nielson | Occupational Therapist | 1140 W. Pioneer Blvd, Mesquite, NV 89027 | 2019-04-22 |
| 1104330059 | Pinnacle Absolute Care | Pharmacy | 114 N. Sandhill Blvd, Suite B, Mesquite, NV 89027 | 2017-11-29 |
| 1811346901 | Rodney Briggs | Physician Assistant | 1925 Whipple Ave. Ste. 30, Logandale, NV 89027 | 2016-06-08 |
| 1881085843 | Sylvan M. Johnson | Physical Therapist | 340 Falcon Ridge Pkwy # 500, Mesquite, NV 89027 | 2015-02-12 |
| 1326281882 | Gladys Kodjoe | Internal Medicine | 350 Falcon Ridge Pkwy Ste 102, Mesquite, NV 89027 | 2009-04-14 |
| 1316010432 | Mesquite Medical Equipment | Durable Medical Equipment & Medical Supplies | 330 Falcon Ridge Pkwy Ste 400b, Mesquite, NV 89027 | 2006-11-16 |
| 1316982028 | Kyle Devon Andrus | Optometrist | 330 N. Sandhill Blvd, Suite A, Mesquite, NV 89027 | 2006-06-17 |
| 1366409633 | Stephen R Hamilton | Registered Nurse | 1299 Bertha Howe Avenue, Mesquite, NV 89027 | 2006-04-28 |
| 1386642460 | Desert Health Care Facilities, Inc. | Skilled Nursing Facility | 272 Pioneer Blvd, Mesquite, NV 89027 | 2005-07-12 |
| 1205838265 | Marchant Physical Therapy & Wellness, Inc. | Specialist | 340 Falcon Ridge Parkway, Building 500, Mesquite, NV 89027 | 2005-06-02 |
| Find all providers in zip 89027 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366006678 | Erika Kemiko Lee | Chiropractor | 2620 Gus Thomasson Rd Ste 102, Mesquite, TX 75150-5417 | 2019-04-23 |
| 1548781628 | Sandi Mckey | Chiropractor | 1220 N Town East Blvd Ste 250, Mesquite, TX 75150-4682 | 2017-06-29 |
| 1922490978 | Andrew Kubosumi | Chiropractor | 945 S Bryan Belt Line Rd Ste 200, Mesquite, TX 75149-5080 | 2015-02-28 |
| 1942607866 | Thien Van Tran | Chiropractor | 2620 Gus Thomasson Rd., Suite 102, Mesquite, TX 75150 | 2014-11-20 |
| 1225451230 | Mohammad Alexander Heidari | Chiropractor | 3334 N. Town East Blvd., #102, Mesquite, TX 75150 | 2014-01-27 |
| 1083036412 | Jessica Pempek | Chiropractor | 3334 N Town East Blvd Ste 102, Mesquite, TX 75150-3800 | 2014-01-21 |
| 1356762496 | Functional Movement Chiropractic | Chiropractor | 1331 Us Highway 80 E Ste 10, Mesquite, TX 75150-5709 | 2013-12-16 |
| 1548515430 | Asa Hadsell | Chiropractor | 1331 Hwy 80 E, Ste 10, Mesquite, TX 75150-5712 | 2012-07-17 |
| 1942505995 | James Leslie Younghusband Jr. | Chiropractor | 323 S. Bryan-beltline, Mesquite, TX 75149-4663 | 2011-01-24 |
| 1427210061 | Ryan J Fuson | Chiropractor | 3501 Gus Thomasson Rd, Mesquite, TX 75150-3699 | 2008-06-25 |
| Find all providers in MESQUITE | ||||
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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.