DR. KEVIN BLACK (NPI# 1013352863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013352863 |
| Entity Type | Individual |
| Full Name | DR. KEVIN BLACK |
| Credential | D.M.D |
| Practice Address |
700 Essex St Unit 1a1 Lawrence MA 01841-4396 |
| Mailing Address |
350 N Clark St Fl 6 C/o Juliette Boyce, Dental Dreams LLC Chicago IL 60654-4712 |
| Practice Telephone | 9786832200 |
| Practice Fax Number | 9786832211 |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2013-05-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN1856252 | MA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003995085 | Kevin Hale Black | Dentist | 205th Dental Squadron, Bldg 2417, Mcguire Blvd, Mcguire Afb, NJ 08641 | 2006-11-02 |
| 1285256909 | Kevin Zachary Black | Student in an Organized Health Care Education/Training Program | 100 Peach St Ste 400, Erie, PA 16507-1423 | 2020-05-15 |
| 1710514591 | Kevin Benjamin Black Jr. | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2020-03-24 |
| 1821644576 | Kevin Black | Behavior Technician | 5601 Arnold Rd Fl 100, Dublin, CA 94568-7726 | 2019-08-16 |
| 1699263889 | Kevin Black | Social Worker | 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 | 2018-04-24 |
| 1275763393 | Kevin Heath Black | Physical Therapist | 8201 Atlee Rd, Suite D, Mechanicsville, VA 23116-1815 | 2009-07-23 |
| 1558389007 | Kevin J Black | Psychiatry & Neurology | 517 S Euclid Ave, Saint Louis, MO 63110-1007 | 2006-07-17 |
| 1497719603 | Kevin P Black | Orthopaedic Surgery | 30 Hope Dr Ste 2400, Hershey, PA 17033 | 2006-04-14 |
| Street Address |
700 ESSEX ST UNIT 1A1 |
| City | LAWRENCE |
| State | MA |
| Zip Code | 01841-4396 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790343861 | Lillian C Lwanga | Dentist | 700 Essex St Unit 1a1, Lawrence, MA 01841-4396 | 2019-06-03 |
| 1528625688 | Alejandro Lamas | Dentist | 700 Essex St Unit 1a1, Lawrence, MA 01841-4396 | 2019-05-23 |
| 1265952642 | Martin Drubi | Dentist | 700 Essex St Unit 1a1, Lawrence, MA 01841-4396 | 2017-06-26 |
| 1972971992 | Wenhui Jiang | Dentist | 700 Essex St Unit 1a1, Lawrence, MA 01841-4396 | 2015-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326502501 | Toby Lazerson | Social Worker | 135 Butler Street, Bruce School, Lawrence, MA 01841 | 2019-01-22 |
| 1376038414 | Maggie Townsend | Physical Therapist | 172 Lawrence Street, Lawrence, MA 01841 | 2018-06-29 |
| 1265941678 | Melvinson Polanco | Psychologist | 170 Sanborn St, Lawrence, MA 01841 | 2017-09-28 |
| 1407385834 | Lawrence Health Solutions, LLC | Clinic/Center | 25 Marston St., Suite 105, Lawrence, MA 01841 | 2017-06-08 |
| 1619419652 | Helen Santos | Social Worker | 5 Colby St, Lawrence, MA 01841 | 2016-11-08 |
| 1740737329 | James Michael Torres | Social Worker | 439 S. Union Street, Larwrence, MA 01841 | 2016-09-01 |
| 1588010003 | Michael Castillo | Counselor | 274 East Haverhill St, Lawrence, MA 01841 | 2016-05-13 |
| 1619379351 | Marlene Reyes | Psychologist | 27 Clarke St, Lawrence, MA 01841 | 2014-09-25 |
| 1982016762 | Erica Vasquez | Counselor | 590 Canal Street, Lawrence, MA 01841 | 2014-05-28 |
| 1538500202 | Azadeh Suppappola | Optometrist | 25 Marston Street #104, Boston Eye Group, Lawrence, MA 01841 | 2013-07-10 |
| Find all providers in zip 01841 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477164705 | Christopher Taylor Lippold | Dentist | 10 E 9th St Ste C, Lawrence, KS 66044-2600 | 2020-08-11 |
| 1841809449 | Kailah Marie Willms | Dentist | 4111 W 6th St, Lawrence, KS 66049-4609 | 2020-07-29 |
| 1487272530 | Mariana Braga | Dentist | 314 Essex St Unit 203, Lawrence, MA 01840-1411 | 2020-07-06 |
| 1407322910 | West Lawrence Dentistry, Pa | Dentist | 565 Wakarusa Dr Ste A, Lawrence, KS 66049-3212 | 2018-10-23 |
| 1629557178 | Lawrence Smile Design LLC | Dentist | 171 S Broadway, Lawrence, MA 01843-1426 | 2018-08-07 |
| 1164971875 | Nicholas Salava | Dentist | 5100 Bob Billings Pkwy Ste 110, Lawrence, KS 66049 | 2016-09-23 |
| 1598063356 | Oracare Dental Services, P.C. | Dentist | 122 Lawrence Ave, Lawrence, NY 11559-1442 | 2011-03-03 |
| 1073820395 | Lawrence Family Dental Inc. | Dentist | 300 Essex St, Lawrence, MA 01840-1400 | 2010-09-08 |
| 1447486626 | Kelly A Miller | Dentist | 545 Columbia Dr Ste 1003, Lawrence, KS 66049-2363 | 2009-06-02 |
| 1750543419 | Leslie Clyde Miller | Dentist | 545 Columbia Dr, Suite 1003, Lawrence, KS 66049 | 2008-06-25 |
| Find all providers in LAWRENCE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.