Jerry Black, D.D.S

ActiveIndividual ProviderDentistry
NPI issued: June 15, 2006

Quick Facts

NPI Number
1124062872
TypeIndividual
StatusActive
SpecialtyDentistry
Taxonomy122300000X — Dentistry
Phone
(801) 278-0458
StateUT

NPI Validation Status: Verified

Valid 10-digit NPI number (1124062872)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (June 15, 2006)
Data source: CMS NPPES

Provider Overview

JERRY BLACK, D.D.S is a Dentistry provider based in Salt Lake City, UT who has been registered with CMS since 2006. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1124062872
Provider TypeIndividual Provider
GenderMale
CredentialD.D.S
StatusActive
Enumeration DateJune 15, 2006

Practice Location

CitySalt Lake City
StateUT
ZIP Code84121-1351
Phone(801) 278-0458

Specialties & Licenses

★ Primary
SpecialtyDentistry
Taxonomy Code122300000X
License StateUT

Mailing Address

CitySalt Lake City
StateUT
ZIP Code84121-1351
Phone(801) 278-0458
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1124062872 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1124062872for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1124062872 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Dentistry

Specialists in Dentistry provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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125,053
Dentistry Providers in the US

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People Also Ask

What is Jerry Black's NPI number?
Jerry Black's NPI number is 1124062872, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Jerry Black's NPI currently active?
Yes, Jerry Black's NPI status is Active as of the latest CMS NPPES database updates.
What does Jerry Black specialize in?
Jerry Black specializes in Dentistry. The healthcare taxonomy code associated with this specialty is 122300000X.
Where does Jerry Black practice?
Jerry Black practices in Salt Lake City, UT 84121-1351.
When was Jerry Black's NPI issued?
Jerry Black's NPI was issued on June 15, 2006.
What is Jerry Black's provider type?
Jerry Black is registered as an Individual Provider under CMS NPI Type 1.