Kurt S Black DDS, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D6925 Issued in OR

Legal business name

KURT S BLACK DDS, PC

Practice address

2356 NW Professional Dr
Corvallis, OR 97330-3881

Phone

(541) 754-0144

Fax

(541) 754-0145

NPI assigned

May 8, 2008

Organization subpart

No

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

Authorized official

Name

Susan McDonald

Title

Business Administrator

Phone

(541) 754-0144

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kurt S. Black, D.D.S.

  • General Practice Dentistry
  • Corvallis, OR
  • NPI 1497740427
  NPD (past)
• James Craig Means Jr., DMD

  • General Practice Dentistry
  • Corvallis, OR
  • NPI 1427571397
  NPD (past)

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1427225549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2356 NW PROFESSIONAL DR",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303881",
            "telephone_number": "541-754-0144",
            "fax_number": "541-754-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2356 NW PROFESSIONAL DR",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303881",
            "telephone_number": "541-754-0144",
            "fax_number": "541-754-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KURT S BLACK DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
        "authorized_official_telephone_number": "541-754-0144"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D6925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward George Kuehnel V
• Christine D Kulonis, RN
• Gabe James Kulp-Weber
• Georgia Kay Kundrat
• Kenneth Kurlak
• Hannah Kurtz
• Kristopher Michael Kutsch
• Kezzie Ann Kvidt
• Abigail Kwok
• Jacquelyn Soyoung Kwon, MPT

• General Practice Dentistry in Corvallis, OR
• Providers in Corvallis, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.