Narvel Atwood Black Jr., DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3570 Issued in AL

Practice address

25210 US Hwy 31 North
Jemison, AL 35085

Phone

(205) 688-4408

Fax

(205) 688-4408

NPI assigned

Sep 9, 2006

Sex

Male

Sole proprietor

No

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, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1157760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992809149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 547",
            "city": "JEMISON",
            "state": "AL",
            "postal_code": "35085",
            "telephone_number": "205-688-4408",
            "fax_number": "205-688-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25210 US HWY 31 NORTH",
            "city": "JEMISON",
            "state": "AL",
            "postal_code": "35085",
            "telephone_number": "205-688-4408",
            "fax_number": "205-688-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "NARVEL",
        "middle_name": "ATWOOD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "3570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "090470",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "402814",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Airx Inc.
• BHC - Jemison
• Pamela Jean Callaghan, LICSW, PIP
• Cheryl Glasscock
• Jemison Eye Care LLC
• Jemison Family Chiropractic, Inc.
• Jemison Internal Medicine PC

• All providers in Jemison, AL
• General Practice Dentistry in Alabama

• 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.