William Black, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10084 Issued in SC

Practice address

240 Seven Farms Dr Ste 101
Daniel Island, SC 29492-8988

Phone

(843) 284-4444

NPI assigned

Feb 6, 2021

Last updated

Jan 28, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1612569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706400000000",
    "number": "1881286359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 SEVEN FARMS DR STE 101",
            "city": "DANIEL ISLAND",
            "state": "SC",
            "postal_code": "294928988",
            "telephone_number": "843-284-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 SEVEN FARMS DR STE 101",
            "city": "DANIEL ISLAND",
            "state": "SC",
            "postal_code": "294928988",
            "telephone_number": "843-284-4444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 21st Ave",
            "address_purpose": "LOCATION",
            "city": "Isle Of Palms",
            "state": "SC",
            "postal_code": "294512384",
            "country_code": "US",
            "telephone_number": "843-866-6461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACK",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-06",
        "last_updated": "2024-01-28",
        "certification_date": "2024-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "10084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Bartle, PHARMD
• Roger F Basha, DDS
• Kevin Michael Bein, DC
• Deborah J Berry-Taylor, APRN
• Meghan Elizabeth Biggers, PA-C
• Body in Balance Physical Therapy, LLC
• Claudia Marianne Danniel Bowman, HIS
• Stacy Bowman
• Cathryn Boyko, DDS
• Shannon Marie Bray, LPC

• General Practice Dentistry in Daniel Island, SC
• Providers in Daniel Island, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.