DR. JENNIFER MICHELLE BLACK (NPI# 1356638910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356638910 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER MICHELLE BLACK |
| Credential | D.D.S. |
| Practice Address |
902 S 6th St Council Bluffs IA 51501-6441 |
| Practice Telephone | 7123251990 |
| Practice Fax Number | 7123521183 |
| Mailing Telephone | 7123251990 |
| Mailing Fax Number | 7123521183 |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2020-01-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
08831 | IA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740786 | Jennifer Lynn Black | Registered Nurse | 24919 S 4420 Road, Vinita, OK 74301 | 2020-11-03 |
| 1689172769 | Jennifer Lee Black | Nurse Practitioner | 14509 State Route 127 Ste B, Carlyle, IL 62231-6485 | 2018-01-24 |
| 1508387309 | Jennifer Black | Assistant Behavior Analyst | 5601 Arnold Rd Fl 100, Dublin, CA 94568-7726 | 2017-06-30 |
| 1912370354 | Jennifer Black | Social Worker | 609 Independence Pkwy Ste 115, Chesapeake, VA 23320-5209 | 2015-11-06 |
| 1609263821 | Jennifer Black | Acupuncturist | 5812 N Figueroa St, Los Angeles, CA 90042-4228 | 2015-04-26 |
| 1679978191 | Jennifer Black | Counselor | 20302 Col Glenn Road, Little Rock, AR 72210 | 2014-10-27 |
| 1891195749 | Jennifer Black | Counselor | 1518 Andrews Ave Ste D, Ozark, AL 36360-3716 | 2014-08-28 |
| 1669816500 | Jennifer Black | Counselor | 916 Nw 42nd St, Oklahoma City, OK 73118-6805 | 2013-04-22 |
| 1821381096 | Jennifer Black | Counselor | 560 Mill St Ste 250, Reno, NV 89502-1089 | 2011-05-20 |
| 1376872754 | Jennifer A Black | Massage Therapist | 3809 Atrisco Dr Nw, Suite C, Albuquerque, NM 87120-4902 | 2009-12-15 |
| Street Address |
902 S 6TH ST |
| City | COUNCIL BLUFFS |
| State | IA |
| Zip Code | 51501-6441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114906906 | All Care Health Center | Clinic/Center | 902 S 6th St, Council Bluffs, IA 51501-6441 | 2006-01-11 |
| 1265064026 | Andrew Martin | Nurse Practitioner | 902 S 6th St, Council Bluffs, IA 51501-6441 | 2020-02-10 |
| 1881156578 | Michele Clair | Social Worker | 902 S 6th St, Council Bluffs, IA 51501-6441 | 2019-04-02 |
| 1619489747 | Chao Zhang | Nurse Practitioner | 902 S 6th St, Council Bluffs, IA 51501-6441 | 2017-10-30 |
| 1891204871 | Ann Brook Rogers | Registered Nurse | 902 S 6th St, Council Bluffs, IA 51501-6441 | 2017-09-22 |
| 1992214076 | Erin Ruth Merrell | Registered Nurse | 902 S 6th St, Council Bluffs, IA 51501-6441 | 2017-09-21 |
| 1821499757 | Jodi Kathleen Reese | Nurse Practitioner | 902 S 6th St, Council Bluffs, IA 51501-6441 | 2014-09-10 |
| 1124461363 | All Care Health Center | Pharmacy | 902 S 6th St, Council Bluffs, IA 51501-6441 | 2013-04-08 |
| 1982980884 | Jolynn Ahmann | Pharmacist | 902 S 6th St, Council Bluffs, IA 51501-3509 | 2011-10-24 |
| 1205169273 | Teresa Ann Roth-dowling | Nurse Practitioner | 902 S 6th St, Council Bluffs, IA 51501-6441 | 2009-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881204691 | Melissa Sue Sperry | Counselor | Melissa Sperry, 4036 Ramelle Dr, Council Bluffs, IA 51501 | 2020-08-06 |
| 1326689076 | Crc Recovery, Inc. | Clinic/Center | 1750 W Broadway, Council Bluffs, IA 51501 | 2019-10-03 |
| 1518451152 | Naomi Kigondu | Registered Nurse | 2323 W Broadway Ste 100, Council Bluffs, IA 51501 | 2018-06-18 |
| 1710400361 | Travis John Alger | Chiropractor | 3424 W Broadway, Council Bluffs, IA 51501 | 2017-07-25 |
| 1124495692 | Jillian Kahl | Speech-Language Pathologist | 1500 N 16th St, Council Bluffs, IA 51501 | 2015-08-31 |
| 1932584323 | Leigh Healey | Dietitian, Registered | 2323 West Broadway, Council Bluffs, IA 51501 | 2015-07-27 |
| 1942558523 | Karen Irene Godin | Registered Nurse | 1702 N 16th Street, Council Bluffs, IA 51501 | 2012-08-29 |
| 1063787505 | Rebecca F Aboe | Dietitian, Registered | 1702 North 16th St., Council Bluffs, IA 51501 | 2012-03-16 |
| 1972883122 | Sara Ann Lott | Occupational Therapist | 1310 N. 17th St., Council Bluffs, IA 51501 | 2011-08-19 |
| 1700042884 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 3271 Marketplace Dr, Council Bluffs, IA 51501 | 2008-07-29 |
| Find all providers in zip 51501 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487175634 | Johnathon O'brien | Dentist | 320 Mckenzie Ave Ste 101, Council Bluffs, IA 51503-1002 | 2017-06-28 |
| 1982981692 | Michael Gritzuk | Dentist | 3617 Denmark Dr Ste 100, Council Bluffs, IA 51501-7756 | 2011-11-09 |
| 1841574886 | Western Iowa Dental Group, LLC | Dentist | 1509 Avenue G, Council Bluffs, IA 51501-2516 | 2011-10-10 |
| 1639364383 | Tony Douglas Stuntz | Dentist | 179 Bennett Ave, Council Bluffs, IA 51503-5206 | 2007-09-06 |
| 1689886574 | Stop Decay PC | Dentist | 2800 Twin City Plaza, Council Bluffs, IA 51503 | 2007-05-04 |
| 1518040930 | Richard James Ronk Jr. | Dentist | 200 S 29th St, Council Bluffs, IA 51501-3449 | 2006-10-21 |
| 1902914757 | Tooth Emporium Inc | Dentist | 179 Bennett Avenue, Council Bluffs, IA 51503-5206 | 2006-08-29 |
| 1851311781 | Kimberly Steckler | Dentist | 114 1/2 S 6th St, Council Bluffs, IA 51501-4234 | 2006-07-21 |
| 1063441384 | Gary Alfred Smith | Dentist | 2612 W Broadway, Council Bluffs, IA 51501-3510 | 2006-06-30 |
| 1366417016 | David Lee Jones | Dentist | 1026 Woodbury Ave, Suite 30, Council Bluffs, IA 51503-7915 | 2006-02-17 |
| Find all providers in COUNCIL BLUFFS | ||||
| City | COUNCIL BLUFFS |
| Zip Code | 51501 |
Please comment or provide details below to improve the information on DR. JENNIFER MICHELLE BLACK.
| 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.