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

Last updated

Mar 26, 2009By the provider in NPPES

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 MSNPI 1184896078

Title

Owner Practicioner

Phone

(915) 592-5853

Specialties & licenses 1

Addresses

Other names 1

• El Paso Orthodontic Assoc PC Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard C Black, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • El Paso, TX
  • NPI 1184896078
  Authorized official Same address or phone

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": [],
    "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.