JOEL A BLACK JR DDS PA
NPI 1225074172
Dentist - Pediatric Dentistry in Winston-salem, NC
NPI Status: Active since June 21, 2006
Contact Information
3314 HEALY DR
SUITE 104
WINSTON-SALEM, NC
ZIP 27103
Phone: (336) 765-5421
Fax: (336) 760-9952
- Organization
- Dentist
- Pediatric Dentistry
About JOEL A BLACK JR DDS PA
This page provides the complete NPI Profile along with additional information for Joel A Black Jr Dds Pa, a provider established in Winston-salem, North Carolina operating as a Dentist, focusing in pediatric dentistry . The healthcare provider is registered in the NPI registry with number 1225074172 assigned on June 2006. The practitioner's primary taxonomy code is 1223P0221X with license number 3648 (NC). The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Joel A Black Jr. Dds (President)
- NPI
- 1225074172
- Provider Name
- JOEL A BLACK JR DDS PA
- Entity Type
- Organization
- Location Address
- 3314 HEALY DR SUITE 104 WINSTON-SALEM, NC 27103
- Location Phone
- (336) 765-5421
- Location Fax
- (336) 760-9952
- Mailing Address
- 3314 HEALY DR SUITE 104 WINSTON-SALEM, NC 27103
- Mailing Phone
- (336) 765-5421
- Mailing Fax
- (336) 760-9952
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-21-2006
- Last Update Date
- 08-22-2020
- Code Navigator
A dentist like Joel A Black Jr Dds Pa is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist Pediatric Dentistry
- Taxonomy Code
- 1223P0221X
- Type
- Dental Providers
- License No.
- 3648
- License State
- NC
- Taxonomy Description
- An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 90753 | MEDICAID (05) | NC |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 2 | 5 | 0 | 7 | 4 | 1 | 7 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 4 | 5 | 0 | 7 | 8 | 1 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 4 + 5 + 0 + 7 + 8 + 1 + 1 + 4 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1225074172 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1801901590 | DR. PATRICK MICHAEL MICHEL DMD Individual | Dentist (General Practice) | 3314 HEALY DR SUITE 101 WINSTON SALEM, NC 27103 (336) 768-3314 |
| 1427112978 | DR. JOEL A BLACK JR. DDS Individual | Dentist (Pediatric Dentistry) | 3314 HEALY DR SUITE 104 WINSTON SALEM, NC 27103 (336) 765-5421 |
| 1285811968 | REGENERATIVE THERAPIES, LLC. Organization | Clinic/Center (Physical Therapy) | 3314 HEALY DR SUITE 105 WINSTON SALEM, NC 27103 (336) 602-2003 |
| 1558549691 | BLUE RIDGE HEARING, INC Organization | Clinic/Center (Hearing and Speech) | 3314 HEALY DR SUITE 106 WINSTON SALEM, NC 27103 (800) 937-6327 |
| 1881942340 | DWIGHT ISENHOWARD Individual | Hearing Instrument Specialist | 3314 HEALY DR SUITE 107 WINSTON SALEM, NC 27103 (336) 774-0100 |
| 1386993475 | DWIGHT D. ISENHOWARD Organization | Hearing Instrument Specialist | 3314 HEALY DR STE 107 WINSTON SALEM, NC 27103 (336) 774-0100 |
| 1134154370 | G & J BREWER LLC Organization | Home Health | 3314 HEALY DR SUITE 105A WINSTON SALEM, NC 27103 (336) 760-7131 |
| 1700954773 | NEW HOPE CENTER OF WINSTON-SALEM, LLC Organization | Social Worker (Clinical) | 3314 HEALY DR SUITE 105 WINSTON SALEM, NC 27103 (336) 765-3586 |
| 1396717005 | J BARRY JOHNSON DPM Individual | Podiatrist (Foot & Ankle Surgery) | 3314 HEALY DR SUITE 102 WINSTON-SALEM, NC 27103 (336) 768-1267 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225074172, enumerated in the NPI registry as an "organization" on June 21, 2006
The provider is located at 3314 Healy Dr Suite 104 Winston-salem, Nc 27103 and the phone number is (336) 765-5421
This medical organization specializes in Dentist with taxonomy code 1223P0221X with a focus in Pediatric Dentistry
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on June 21, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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