BLACK & RUIZ DENTAL CENTRE, INC. (NPI# 1467638866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467638866 |
| Entity Type | Organization |
| Organization Name | BLACK & RUIZ DENTAL CENTRE, INC. |
| Practice Address |
1600 S Coulter St Bldg B Suite 208 Amarillo TX 79106-1710 |
| Practice Telephone | 8063512762 |
| Practice Fax Number | 8063512763 |
| Mailing Telephone | 8063512762 |
| Mailing Fax Number | 8063512763 |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2008-01-15 |
| Authorized Official Name | MICHELLE NANESE RUIZ (PRESIDENT/DENTIST) |
| Authorized Official Telephone | 8063512762 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
17910,20035,1386 | TX | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | CHIPS | G60131-01 | 01 |
| Street Address |
1600 S COULTER ST BLDG B SUITE 208 |
| City | AMARILLO |
| State | TX |
| Zip Code | 79106-1710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194728154 | Michael O Lagrone | Orthopaedic Surgery | 1600 S Coulter St, Building B, Amarillo, TX 79106-1710 | 2005-05-24 |
| 1720323801 | Bradley Bentley | Hearing Instrument Specialist | 1600 S Coulter St, A105, Amarillo, TX 79106-1710 | 2012-11-30 |
| 1174770598 | Rachel Glaze | Audiologist | 1600 S Coulter St, Bldg A #105, Amarillo, TX 79106-1710 | 2008-08-27 |
| 1821278607 | William H Bordelon, Md, Pa | Urology | 1600 S Coulter St, Bldg A, Ste 100, Amarillo, TX 79106-1710 | 2007-11-08 |
| 1851571822 | John Nelson Dwyer | Dentist | 1600 S Coulter St, Building B Suite 208, Amarillo, TX 79106-1710 | 2007-11-07 |
| 1538284286 | Andrew F Brooker Jr. | Orthopaedic Surgery | 1600 S Coulter St, Bldg F, Amarillo, TX 79106-1710 | 2007-03-20 |
| 1013044510 | Judith E Hogg Md Pa | Psychiatry & Neurology | 1600 S Coulter St, C302, Amarillo, TX 79106-1710 | 2007-02-28 |
| 1811024474 | Amarillo Area Healthcare Specialist | Internal Medicine | 1600 S Coulter St, C302, Amarillo, TX 79106-1710 | 2007-02-28 |
| 1891848552 | Univ Phys, Amarillo Pedi-partners | Clinical Medical Laboratory | 1600 S Coulter St, Suite F600, Amarillo, TX 79106-1710 | 2007-01-18 |
| 1790847309 | Eric C. Cox M.d., P.a. | Family Medicine | 1600 S Coulter St, Suite 701e, Amarillo, TX 79106-1710 | 2006-12-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773205 | Nisha Patel | Pharmacist | 1600 S Western Street, Amarillo, TX 79106 | 2020-09-01 |
| 1043851769 | Diana Moore | Pharmacist | 6010 Amarillo Blvd W (119), Amarillo, TX 79106 | 2019-10-03 |
| 1164988127 | Wade Family Services Pllc | Counselor | 1901 Medi Park Dr Suite 130, Amarillo, TX 79106 | 2019-02-14 |
| 1255802963 | Jennifer Cockrum | Hospitalist | Bsa Hospitalist, 1600 Wallace Blvd., Amarillo, TX 79106 | 2018-12-07 |
| 1346736691 | Denise Mills Donnell | Social Worker | 6010 Amarillo Bouldevard West Clc-b, Amarillo, TX 79106 | 2018-07-10 |
| 1124525472 | Abigail Batson | Student in an Organized Health Care Education/Training Program | 1400 S Coulter Street, Suite 1500, Amarillo, TX 79106 | 2018-04-11 |
| 1053812743 | Moc Amarillo, LLC | Skilled Nursing Facility | 1540 Research St., Amarillo, TX 79106 | 2018-02-27 |
| 1013459437 | Larry G. Schulz | Durable Medical Equipment & Medical Supplies | 1901 Medi Park Dr Ste 219, Amarillo, TX 79106 | 2016-11-16 |
| 1922453315 | Omar Saeed M Alzhrani | Student in an Organized Health Care Education/Training Program | 1400 S. Coulter - Suite 5100, Amarillo, TX 79106 | 2016-05-04 |
| 1972967529 | David Wayne Hohon | Internal Medicine | Bsa Physician Group, 1600 Wallace Blvd., Amarillo, TX 79106 | 2016-04-11 |
| Find all providers in zip 79106 | ||||
| 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 |
|---|---|---|---|---|
| 1881203529 | Brynna Diller | Dentist | 7649 Hillside Rd Ste 100, Amarillo, TX 79119-8382 | 2020-07-29 |
| 1033771803 | Amy Stephenson | Dentist | 7649 Hillside Road, Suite 100, Amarillo, TX 79119 | 2019-07-02 |
| 1912405309 | Amarillo Smiles Pllc | Dentist | 802 E Amarillo Blvd Ste 300, Amarillo, TX 79107-5401 | 2018-01-31 |
| 1437671567 | Austin Argyle Whetten | Dentist | 6017 Hillside Rd Ste 200, Amarillo, TX 79109-7210 | 2017-07-11 |
| 1861851826 | Gabriela Pita | Dentist | 2602 S Kentucky St # 709, Amarillo, TX 79109-1721 | 2016-02-18 |
| 1538548128 | Abbeville Dentistry - Washington St Pllc | Dentist | 1915 S Washington St, Unit 100, Amarillo, TX 79109-2412 | 2015-05-28 |
| 1508267675 | Lee Crawford | Dentist | 6017 Sw 45th Ave, Amarillo, TX 79109-5100 | 2014-09-09 |
| 1144621251 | Krantikumari Bellam | Dentist | 8801 Tarter Ave, Apt 304, Amarillo, TX 79119-6351 | 2014-09-08 |
| 1538575501 | Blaine Morris | Dentist | 4515 Van Winkle Dr, Amarillo, TX 79119-6423 | 2014-07-10 |
| 1588928733 | Jon K Ormson | Dentist | 4600 W I 40 Ste 201, Amarillo, TX 79106-5836 | 2012-07-02 |
| Find all providers in AMARILLO | ||||
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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.