Individual provider Active NPI

Claire L Black, DDS

  • General Practice Dentistry
  • Hendersonville, NC
National Provider Identifier
1043571300
Registry record updated Jun 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9285 Issued in NC
Practice address
687 Blythe Street CT Ste a
Hendersonville, NC 28739-4054
Phone
(828) 692-3933
Fax
(828) 692-9946
NPI assigned
Jun 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9285 NC Primary

Addresses

Primary practice location

687 Blythe Street CT Ste a
Hendersonville, NC 28739-4054

Mailing address

687 Blythe Street CT Ste a
Hendersonville, NC 28739-4054
Phone (828) 692-3933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 27, 2016 through Jan 27, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9285NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hendersonville Dentistry General Practice Past Accepting new patients
Clayton a Sanders, DDS General Practice Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338768000000",
    "number": "1043571300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "687 BLYTHE STREET CT STE A",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287394054",
            "telephone_number": "828-692-3933",
            "fax_number": "828-692-9946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "687 BLYTHE STREET CT STE A",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287394054",
            "telephone_number": "828-692-3933",
            "fax_number": "828-692-9946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "CLAIRE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-04",
        "last_updated": "2012-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "9285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

Verify at the official NPI Registry.