TAMARA BLACK (NPI# 1366530446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366530446 |
| Entity Type | Individual |
| Full Name | TAMARA BLACK |
| Other Name | TAMARA COOKE |
| Credential | D.D.S. |
| Practice Address |
12080 N. Scenic Hwy Rocky Gap VA 24366-0000 |
| Mailing Address |
4671 Peppers Ferry Rd Wytheville VA 24382-4965 |
| Practice Telephone | 2769281520 |
| Practice Fax Number | 2769281542 |
| Mailing Telephone | 2766136725 |
| Mailing Fax Number | 2767442240 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2016-05-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
0401008227 | VA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508896143 | Tamara Lynn Black | Nurse Practitioner | 1301 West 12th Ave, Ste 202, Emporia, KS 66801-0907 | 2006-07-03 |
| Street Address |
12080 N. SCENIC HWY |
| City | ROCKY GAP |
| State | VA |
| Zip Code | 24366-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184130395 | John J. Doyle, Dds, P.C. | Dentist | 12080 N Scenic Hwy, Rocky Gap, VA 24366 | 2017-12-26 |
| 1417178427 | Dionisa Eugenia Blair | Counselor | 4959 Dry Fork Road, Rocky Gap, VA 24366-0000 | 2007-05-01 |
| 1437237336 | John Doyle | Dentist | 12080 N Scenic Hwy, Rocky Gap, VA 24366-0000 | 2006-11-01 |
| 1063902492 | Olivia Hart | Speech-Language Pathologist | 7401 Laurel Fork Rd, Rocky Gap, VA 24366-7012 | 2018-05-10 |
| 1699324905 | Mary Leticia Wilcox | Technician | 52 Briarwood Ln, Rocky Gap, VA 24366-7112 | 2019-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699324905 | Mary Leticia Wilcox | Technician | 52 Briarwood Ln, Rocky Gap, VA 24366-7112 | 2019-09-09 |
| 1063902492 | Olivia Hart | Speech-Language Pathologist | 7401 Laurel Fork Rd, Rocky Gap, VA 24366-7012 | 2018-05-10 |
| 1184130395 | John J. Doyle, Dds, P.C. | Dentist | 12080 N Scenic Hwy, Rocky Gap, VA 24366 | 2017-12-26 |
| 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 |
|---|---|---|---|---|
| 1184130395 | John J. Doyle, Dds, P.C. | Dentist | 12080 N Scenic Hwy, Rocky Gap, VA 24366 | 2017-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154516 | Kim Ierna Kitchen Dds, PC | Dentist | 500 Montgomery St Ste 250, Alexandria, VA 22314-1558 | 2020-11-05 |
| 1548877194 | Vishakha N Devrukhkar | Dentist | 4011 Wards Rd Ste A, Lynchburg, VA 24502-2943 | 2020-09-28 |
| 1477160547 | Modaresi & Avin Dds Pllc | Dentist | 24805 Pinebrook Rd Ste 112, Chantilly, VA 20152-4127 | 2020-09-23 |
| 1215549654 | Alan Ostrovsky | Dentist | 9225 Doerr Rd # 1220, Fort Belvoir, VA 22060-2204 | 2020-08-18 |
| 1861003576 | Se Eun Ahn | Dentist | 1647 Admiral Taussig Blvd Ste 241, Norfolk, VA 23511-2803 | 2020-08-14 |
| 1891305868 | Chanel Von Schlichting | Dentist | 1300 Cedar Rd Ste 100, Chesapeake, VA 23322-7414 | 2020-08-05 |
| 1952910358 | Erica Vetter | Dentist | 10525 Braddock Rd Ste 9a, Fairfax, VA 22032-2257 | 2020-07-31 |
| 1336758382 | Chitti Mengji | Dentist | 3441 Kilburn Cir Apt 618, Henrico, VA 23233-1137 | 2020-07-27 |
| 1518575851 | Reza Tahernia & Associates Pllc | Dentist | 1901 N Moore St Ste 501, Arlington, VA 22209-1700 | 2020-07-22 |
| 1467060996 | Daniel Kuyk | Dentist | 616 Campus Dr Ste 100, Abingdon, VA 24210-9706 | 2020-07-21 |
| Find all providers with the same taxonomy | ||||
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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.