Individual provider Active NPI

Dawn Dickson Black, M.D.

  • Obstetrics & Gynecology Physician
  • Houston, TX
National Provider Identifier
1710980909
Registry record updated Sep 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
H9803 Issued in TX
Practice address
7900 Fannin St Ste 4000
OBGYN Medical Center, PLLC
Houston, TX 77054-2934
Phone
(713) 512-7500
Fax
(713) 512-7927
NPI assigned
May 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X H9803 TX Primary

Addresses

Primary practice location

7900 Fannin St Ste 4000
OBGYN Medical Center, PLLC
Houston, TX 77054-2934

Mailing address

7900 Fannin St Ste 4000
OBGYN Medical Center, PLLC
Houston, TX 77054-2934
Phone (713) 512-7500

Other identifiers 1

IdentifierTypeStateIssuer
83041GOtherTXBLUE CROSS & BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101027001225 TX Practitioner - Obstetrics/Gynecology 3173717774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Medical Branch at Galveston, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

7900 Fannin St
Suite 4000
Houston, TX 77054-2935
Phone (713) 512-7500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
H9803TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Gulf Coast PLLC CurrentSince Jan 1, 2015 Accepting new patients
Privia Medical Group Gulf Coast, PLLC Obstetrics & Gynecology CurrentSince Jan 1, 2015 Accepting new patients
Obstetrical and Gynecological Associates, P.a. Obstetrics & Gynecology Past Accepting new patients

Locations

1135 E Cedar St
Angleton, TX 77515
Phone (281) 331-0915

830 Gemini St
#B
Houston, TX 77058
Phone (832) 553-5430

7900 Fannin St
Houston, TX 77054
Phone (713) 512-7505

12000 Richmond Ave
Ste 355
Houston, TX 77082
Phone (832) 776-1621

7900 Fannin St
Ste 4000
Houston, TX 77054
Phone (713) 512-7027

22999 Highway 59 N
Ste 150
Kingwood, TX 77339
Phone (281) 358-2426

10970 Shadow Creek Pkwy
Ste 100
Pearland, TX 77584
Phone (281) 398-8500

10223 Broadway St
Ste E
Pearland, TX 77584
Phone (713) 340-2848

17510 W Grand Pkwy S
Ste 430
Sugar Land, TX 77479
Phone (713) 578-3820

Interoperability endpoints

  • Direct secure messaging: dawn.black.1@8042.direct.athenahealth.com
  • Direct secure messaging: dawn.black.4@8042.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442275200000",
    "number": "1710980909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 FANNIN ST STE 4000",
            "address_2": "OBGYN MEDICAL CENTER, PLLC",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542934",
            "telephone_number": "713-512-7500",
            "fax_number": "713-512-7927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 FANNIN ST STE 4000",
            "address_2": "OBGYN MEDICAL CENTER, PLLC",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542934",
            "telephone_number": "713-512-7500",
            "fax_number": "713-512-7927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "DAWN",
        "middle_name": "DICKSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-23",
        "last_updated": "2015-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "H9803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "83041G",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.