Steven W. Black, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

D6736 Issued in OR

Practice address

14795 SW Murray Scholls Dr
Ste 119
Beaverton, OR 97007-9713

Phone

(503) 524-0524

NPI assigned

Aug 2, 2006

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

Other identifiers 1

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 and National Provider Directory roles.

• Beaverton Orthodontics, PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Beaverton, OR
  • NPI 1447515747
  NPD (past) Authorized official

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280707200000",
    "number": "1174530091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1891",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970350612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14795 SW MURRAY SCHOLLS DR",
            "address_2": "STE 119",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970079713",
            "telephone_number": "503-524-0524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "STEVEN",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2010-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OR",
            "license": "D6736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON DENTAL LICENSE",
            "identifier": "D6736",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charli Bise
• Nishanie Bisorca, MD
• Bethany Joy Bivin, MSN, APRN, BSN, RN
• Sunami Bjornson
• Black Therapist & Company, LLC
• Jenna Blackhurst, L.M.T.
• Cynara Blackwood
• Harold Raymond Blair, M.D.
• Daniel Blanchette, LPC
• Reagan Ravanzo Blanco

• Orthodontics and Dentofacial Orthopedics Dentistry in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; 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.