DR. RICHARD MICHAEL BLACK (NPI# 1316124555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316124555 |
| Entity Type | Individual |
| Full Name | DR. RICHARD MICHAEL BLACK |
| Credential | DMD |
| Practice Address |
317 N El Camino Real Suite 203 Encinitas CA 92024-2811 |
| Practice Telephone | 7609424040 |
| Practice Fax Number | 7609186890 |
| Mailing Telephone | 7609424040 |
| Mailing Fax Number | 7609186890 |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2008-01-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
29211 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184896078 | Richard C Black | Dentist | 1514 Zaragosa Rd, Ste. A-2, El Paso, TX 79936-7905 | 2008-03-31 |
| 1821017468 | Richard A. Black | Psychiatry & Neurology | 1445 W Main St, Newark, OH 43055-1989 | 2006-07-18 |
| 1528017399 | Richard L Black | Optometrist | 133 Glen Rd, Garner, NC 27529-7947 | 2006-05-09 |
| 1093798720 | Richard R Black | Internal Medicine | 512 E Washington St, Chagrin Falls, OH 44022-4447 | 2005-11-28 |
| 1669473955 | Richard Black | Internal Medicine | 340 Wood Road, Braintree, MA 02184 | 2005-08-09 |
| 1306311790 | Richard Black | Physical Therapist | 333 N Summit St, Toledo, OH 43604-1531 | 2018-10-11 |
| 1548392012 | Richard F. Black | Dentist | 15 Meade St, Suite U5, Wellsboro, PA 16901-1813 | 2007-03-11 |
| 1316028103 | Richard E Black | Surgery | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2006-10-18 |
| 1487644902 | Richard A Black | Radiology | 65 Sockanosset Crossroads, Cranston, RI 02920-6068 | 2005-10-26 |
| Street Address |
317 N EL CAMINO REAL SUITE 203 |
| City | ENCINITAS |
| State | CA |
| Zip Code | 92024-2811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477546125 | Linda R Olafson Md Inc | Family Medicine | 317 N El Camino Real, #101, Encinitas, CA 92024-2811 | 2005-08-29 |
| 1558894956 | Mike Wilson | Specialist/Technologist, Other | 317 N El Camino Real, Ste 405, Encinitas, CA 92024-2811 | 2017-04-04 |
| 1053865790 | Coastal Hearing Aid Center | Hearing Instrument Specialist | 317 N El Camino Real, Encinitas, CA 92024-2811 | 2016-08-11 |
| 1144676586 | Anne Foucault | Acupuncturist | 317 N El Camino Real, Ste 408, Encinitas, CA 92024-2811 | 2016-05-04 |
| 1104286996 | Mccormack Dental Imaging | Dental Laboratory | 317 N El Camino Real, Ste. 301, Encinitas, CA 92024-2811 | 2016-03-07 |
| 1801260773 | Gerald Gollin Md, Inc. | Surgery | 317 N El Camino Real, Ste 502, Encinitas, CA 92024-2811 | 2015-11-16 |
| 1881079986 | Seaside Integrative Medical Center Inc | Family Medicine | 317 N El Camino Real, Suite 406, Encinitas, CA 92024-2811 | 2015-07-30 |
| 1427451202 | Christopher M. Sumer | Hearing Instrument Specialist | 317 N El Camino Real, Ste 501, Encinitas, CA 92024-2816 | 2014-10-07 |
| 1447651831 | El Camino Acupuncture | Acupuncturist | 317 N El Camino Real, Suite 406, Encinitas, CA 92024-2811 | 2014-09-04 |
| 1669892352 | Rachel Pagones | Acupuncturist | 317 N El Camino Real, Suite 406, Encinitas, CA 92024-2811 | 2014-04-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326688672 | Erika S Roark | Nurse Practitioner | 754 Bonita Drive, Encinitas, CA 92024 | 2020-01-14 |
| 1871064279 | Elana Miller | Physical Therapist | 285 N El Camino Real Ste 202, Encinitas, CA 92024 | 2018-12-10 |
| 1811478654 | Aton Center, Inc. | Substance Abuse Rehabilitation Facility | 3238 Country Rose Cir, Encinitas, CA 92024 | 2018-08-28 |
| 1124508296 | Hardison Medical Corporation | Family Medicine | 2210 Encinitas Blvd Ste N, Encinitas, CA 92024 | 2018-08-18 |
| 1326544990 | Jamin Sarah Sylvada | Midwife | 1141 Balour Drive, Encinitas, CA 92024 | 2018-04-03 |
| 1457856445 | Stephanie Yarnell | Optometrist | 385 Via Montanosa, Encinitas, CA 92024 | 2018-03-29 |
| 1972002954 | J Schaefer Dds Inc | Clinic/Center | 355 Santa Fe Drive Suite 100, Encinitas, CA 92024 | 2018-02-06 |
| 1538691654 | Dr. James C. Lajevic D.m.d. Correct Choice Dental | Point of Service | 199 N El Camino Real Blvd, Suite E, Encinitas, CA 92024 | 2017-03-29 |
| 1649720566 | Marcia A. Rebelo | Social Worker | 187 Calle Magdalena Ste 114, Encinitas, CA 92024 | 2016-10-04 |
| 1346698529 | Jordan Anne Pinozek | Optometrist | 1044b N El Camino Real, Encinitas, CA 92024 | 2016-05-29 |
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| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740458314 | Ray J. Kieffer Jr. | Dentist | 1044 2nd St, Encinitas, CA 92024-5006 | 2008-02-15 |
| 1023138534 | Karson A. Kupiec | Dentist | 617 Saxony Pl Ste 103, Encinitas, CA 92024-2797 | 2007-03-29 |
| 1336429612 | Hydo, Angelopoulos & Miller Dental Group | Dentist | 1200 Garden View Rd, Suite #102, Encinitas, CA 92024-2477 | 2011-08-18 |
| 1750534707 | Terrie Tomoyo Yoshikane | Dentist | 477 N El Camino Real, B-203, Encinitas, CA 92024-1328 | 2008-11-03 |
| 1982869061 | Gregg A. Toolson | Dentist | 761 Garden View Ct, Suite 101, Encinitas, CA 92024-2400 | 2008-07-28 |
| 1700077492 | Natalie Miller | Dentist | 617 Saxony Pl, #103, Encinitas, CA 92024-2797 | 2007-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861091720 | Ellen Im Dds Inc | Dentist | 13422 Pomerado Rd Ste 201, Poway, CA 92064-3548 | 2020-10-21 |
| 1104425370 | Jack Bayraymyan Dental Group Inc. | Dentist | 2621 Zoe Ave Ste A, Huntington Park, CA 90255-4131 | 2020-10-20 |
| 1669071825 | Jack Bayraymyan Dental Group Inc. | Dentist | 418 E Glenoaks Blvd Ste 202, Glendale, CA 91207-2093 | 2020-10-20 |
| 1891394060 | Jack Bayraymyan Dental Group Inc. | Dentist | 600 S Alvarado St Ste 200-201, Los Angeles, CA 90057-3314 | 2020-10-20 |
| 1790391209 | Two Front Corp | Dentist | 2408 Grandview Ave, Venice, CA 90291-4938 | 2020-09-21 |
| 1396358453 | Bridget Powers | Dentist | 1000 Ygnacio Valley Rd, Walnut Creek, CA 94598-1812 | 2020-08-28 |
| 1144832221 | Manjeet Samra Dental Corporation | Dentist | 1700 Mchenry Ave Ste 16b, Modesto, CA 95350-4319 | 2020-08-19 |
| 1154932150 | Jacqueline Morgan Payne | Dentist | 1820 Sonoma Ave Ste 36, Santa Rosa, CA 95405-6617 | 2020-08-12 |
| 1922617802 | Andrew Levin | Dentist | 7891 Talbert Ave # 2, Huntington Beach, CA 92648-8612 | 2020-07-27 |
| 1861001885 | Robert Berger | Dentist | 2529 Via Sanchez, Palos Verdes Estates, CA 90274-2805 | 2020-07-26 |
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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.