Eric Black, DDS

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

6899 Issued in AZ

Practice address

1260 S Campbell Ave
Green Valley, AZ 85614-0504

Phone

(520) 407-5617

NPI assigned

Jun 14, 2006

Last updated

Apr 21, 2026By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: eric.black@uchc.eclinicaldirectplus.com

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.

• United Community Health Center - Maria Auxiliadora, Inc.

  • Federally Qualified Health Center (FQHC)
  • Green Valley, AZ
  • NPI 1093766867
  Medicare reassignment NPD
• North Country Healthcare, Inc.

  • Multi-Specialty Clinic/Center
  • Flagstaff, AZ
  • NPI 1073583472
  NPD
• North Country Healthcare, Inc.

  • Multi-Specialty Clinic/Center
  • Show Low, AZ
  • NPI 1073740098
  NPD
• North Country Healthcare, Inc.

  • Family Medicine Physician
  • Flagstaff, AZ
  • NPI 1619345675
  NPD
• United Community Health Center-Maria Auxiliadora, Inc.

  • Federally Qualified Health Center (FQHC)
  • Green Valley, AZ
  • NPI 1811465966
  NPD

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1154364305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 S CAMPBELL AVE",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856140504",
            "telephone_number": "520-407-5600",
            "fax_number": "520-407-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 S CAMPBELL AVE",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856140504",
            "telephone_number": "520-407-5617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD2687",
            "primary": false
        },
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "AZ",
            "license": "6899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "974156",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elvira Bayless, MLIS, LCSW
• Stephanie W Belokin, D.O.
• Jonathan Benefield
• Marie Benitez, MD
• Sage Bergstrom, MSW LCSW
• Fern L Blizzard, RN, HEALTH EDUCATOR
• Boone Optical Services, Inc. (Green Valley Optical)
• Thomas Bottoms, O.D.
• Lindsay Ann Bouchard, DNP, PMHNP-BC, RN
• Arlo B Brakel, M.D.

• Public Health Dentistry in Green Valley, AZ
• Providers in Green Valley, AZ by specialty
• Public Health Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.