Remy Victor Black, DDS, MBA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

44832 Issued in CA

Practice address

318 W. Alpine 92707
808 E. Manchester Blvd
Inglewood, CA 90301-1914

Phone

(310) 872-8408

NPI assigned

Sep 10, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration

Practice roles

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.

• Coordinated Optimum Health With Outstanding Providers-Cohop

  • Public Health Dentistry
  • Los Angeles, CA
  • NPI 1144044512
  NPD Authorized official

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189382400000",
    "number": "1891980181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10311",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905051211",
            "telephone_number": "310-872-8408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 W. ALPINE 92707",
            "address_2": "808 E. MANCHESTER BLVD",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011914",
            "telephone_number": "310-872-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "REMY",
        "middle_name": "VICTOR",
        "name_prefix": "Mr.",
        "credential": "DDS, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Biometrics Partners Corporation
• Theodore Bitew, D.C.
• Dara Alodie Blades
• Tierra Rose Blake
• Adriana Blanco
• Ryan Blanco, PA
• Blue Dove Rehabilitation, Inc.

• General Practice Dentistry in Inglewood, CA
• Providers in Inglewood, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.