James Edward Black, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

7401 Issued in MN

Practice address

250 East Wentworth Avenue
West St Paul, MN 55118-3525

Phone

(651) 455-1577

Fax

(651) 455-8641

NPI assigned

Jul 11, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• West St Paul Family Dentisty PLLC

  • Dentist
  • West St Paul, MN
  • NPI 1043654411
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073547170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 EAST WENTWORTH AVENUE",
            "city": "WEST ST PAUL",
            "state": "MN",
            "postal_code": "551183525",
            "telephone_number": "651-455-1577",
            "fax_number": "651-455-8641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 EAST WENTWORTH AVENUE",
            "city": "WEST ST PAUL",
            "state": "MN",
            "postal_code": "551183525",
            "telephone_number": "651-455-1577",
            "fax_number": "651-455-8641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "JAMES",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "7401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Back in Balance Chiropractic, PA (wildenauer chiropractic clinic)
• Melissa Baughman, DO
• Nicholas Beise
• Samrie Beshah, MD
• Caryn Elizabeth Bittinger, LPCC
• Kristian Dennis Bloomquist, PHARM. D.
• Travis Wesley Bowen, LICSW
• Lucas William Boyle-Milroy, M.D.
• Jason Brethorst, MA, LADC
• Brite Dental West St Paul PC

• Dentist in West St Paul, MN
• Providers in West St Paul, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.