Kevin Black, DMD, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30291 Issued in TX

Legal business name

KEVIN BLACK, DMD, PLLC

Practice address

2501 65TH St
Galveston, TX 77551-2218

Phone

(409) 744-4551

NPI assigned

Apr 4, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Black, DMD

Title

Owner/Dentist

Phone

(614) 805-4702

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.

• Patricia Anne Lanier, DDS

  • Pediatric Dentistry
  • Galveston, TX
  • NPI 1063551216
  NPD (past)
• William R Posnick, DDS

  • Dentist
  • Galveston, TX
  • NPI 1578663506
  NPD (past)

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491264000000",
    "number": "1740713163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 65TH ST",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775512218",
            "telephone_number": "409-744-4551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 65TH ST",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775512218",
            "telephone_number": "409-744-4551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN BLACK, DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-04",
        "last_updated": "2017-04-04",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "614-805-4702",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "30291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth S Gluski DDS PC
• Carol Kerr, LPC
• Kathleen Mary Kerr, M.S, CCC-SLP
• Ivan Kessel, MD
• Tricia Deanne Kesterson, MA, LPC
• Kevin Katz OD PC (Texas State Optical)
• Kristin Keyes, LPC
• Phillip Keys, MD
• Ryan Khalaf, MD
• Wissam Ibrahim Khalife, M.D.

• General Practice Dentistry in Galveston, TX
• Providers in Galveston, 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 Apr 4, 2017; 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.