Allen L Black, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16723 Issued in OH

Practice address

7535 State Rd
Cincinnati, OH 45255-2438

Phone

(513) 231-5444

Fax

(513) 231-8135

NPI assigned

Aug 8, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861401655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 RUSCHMAN DR",
            "city": "COLD SPRING",
            "state": "KY",
            "postal_code": "410769273",
            "telephone_number": "859-441-5562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7535 STATE RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452552438",
            "telephone_number": "513-231-5444",
            "fax_number": "513-231-8135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "ALLEN",
        "middle_name": "L",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "16723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "0423",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• SE'Kara Blaackar
• Kelly Fahey Blache, APRN
• Tahler Renee Blache, APRN
• Chamera Black-Walker
• Aleesia Black
• Charles Joseph Black, LISW
• Colby Lynn Black, LPN
• Craig Black
• Emmanuel J Black
• Erin Carroll Black, D.O.

• General Practice Dentistry in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.