Black & Ruiz Dental Centre, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17910,20035,13861 Issued in TX

Legal business name

BLACK & RUIZ DENTAL CENTRE, INC.

Practice address

1600 S Coulter St
BLDG B Suite 208
Amarillo, TX 79106-1710

Phone

(806) 351-2762

Fax

(806) 351-2763

NPI assigned

Jan 15, 2008

Organization subpart

No

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

Authorized official

Name

Michelle Nanese Ruiz, DDS

Title

President/Dentist

Phone

(806) 351-2762

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Danny Earl Black, DMD

  • General Practice Dentistry
  • Amarillo, TX
  • NPI 1821191818
  NPD (past)
• John Nelson Dwyer, DDS

  • General Practice Dentistry
  • Amarillo, TX
  • NPI 1851571822
  NPD (past)

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1467638866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 S COULTER ST",
            "address_2": "BLDG B SUITE 208",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061710",
            "telephone_number": "806-351-2762",
            "fax_number": "806-351-2763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S COULTER ST",
            "address_2": "BLDG B SUITE 208",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061710",
            "telephone_number": "806-351-2762",
            "fax_number": "806-351-2763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK & RUIZ DENTAL CENTRE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "NANESE",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "806-351-2762",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "17910,20035,13861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIPS",
            "identifier": "G60131-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erica Bittle
• Nikolas Chase Bixenman, DC
• Timothy H. Bixenman Jr., APRN, FNP-C
• Keith D Bjork, M.D.
• Nels Bjork
• Blaire Black
• Danny Earl Black, DMD
• Jeanna D'Ann Black, MED, LPC
• Jeff Black
• Kelly Black

• General Practice Dentistry in Amarillo, TX
• Providers in Amarillo, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.