Richard C Black DDS Ms PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

11053 Issued in TX

Legal business name

RICHARD C BLACK DDS MS PC

Practice address

1514 Zaragosa
Ste a-2
El Paso, TX 79936-7905

Phone

(915) 592-5853

Fax

(915) 591-0381

NPI assigned

Nov 20, 2006

Organization subpart

No

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

Authorized official

Name

Richard C Black, DDS MS

Title

Owner Practicioner

Phone

(915) 592-5853

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• El Paso Orthodontic Assoc PC Former legal business name

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238025600000",
    "number": "1659445997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 ZARAGOSA",
            "address_2": "STE A-2",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799367905",
            "telephone_number": "915-592-5853",
            "fax_number": "915-591-0381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 ZARAGOSA",
            "address_2": "STE A-2",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799367905",
            "telephone_number": "915-592-5853",
            "fax_number": "915-591-0381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD C BLACK DDS MS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2009-03-26",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER PRACTICIONER",
        "authorized_official_telephone_number": "915-592-5853",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "11053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9177596",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169606401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009005202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "El Paso Orthodontic Assoc PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jason Tyler Rice, CLINICAL PHARMACIST
• Adriana Rich, M.S. CCC-SLP
• Natalya D Rich
• Nicolas Rich Jr., M.D.
• Robert Lawrence Rich, MD
• Karl Max Richard, PA-C
• Leslie Ann Richard, PMHNP-BC
• Paul M Richard, CRNA
• Corinne Marie-Woolley Richards, MA, MT-BC
• Julie Richards

• Orthodontics and Dentofacial Orthopedics Dentistry in El Paso, TX
• Providers in El Paso, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2009; 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.