Jason C Black, ND

Primary specialty

NaturopathTaxonomy code 175F00000X

License

1269 Issued in OR

Practice address

2270 NE McDaniel LN
McMinnville, OR 97128-3247

Phone

(503) 883-0333

Fax

(503) 883-0330

NPI assigned

Jan 17, 2008

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: odcjason.black.1@14016.direct.athenahealth.com
• Direct secure messaging: jason.black.1@14016.direct.athenahealth.com

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200528000000",
    "number": "1922284124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2270 NE MCDANIEL LN",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971283247",
            "telephone_number": "503-883-0333",
            "fax_number": "503-883-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 NE MCDANIEL LN",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971283247",
            "telephone_number": "503-883-0333",
            "fax_number": "503-883-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "JASON",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-17",
        "last_updated": "2008-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "231881",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Victor Bindl, PSYD
• Lauren A Bingham, MA, LPC
• Edwin Bishop
• BKD Hillside Opco, LLC
• BKD Personal Assistance Services LLC
• Jessica K Black, ND
• Marilyn Blackwell, CMHC, LPCI
• Chelene Blair, NCC, CADC I
• Christopher A. Blake, M.D.
• Stephen Wayne Bledsoe, M.D., PH.D.

• Naturopath in McMinnville, OR
• Providers in McMinnville, OR by specialty
• Naturopath in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; 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.