DR. BYRON HAL BLACK (NPI# 1528041399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528041399 |
| Entity Type | Individual |
| Full Name | DR. BYRON HAL BLACK |
| Credential | DDS |
| Practice Address |
102 Memorial Dr Ripley WV 25271-1164 |
| Mailing Address |
102 Memorial Dr Po Box 717 Ripley WV 25271-1164 |
| Practice Telephone | 3045145500 |
| Practice Fax Number | 3045145504 |
| Mailing Telephone | 3045145500 |
| Mailing Fax Number | 3045145504 |
| Enumeration Date | 2005-11-25 |
| Last Update Date | 2015-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
2081 | WV | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0138164000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255673422 | Byron K Black | Clinical Exercise Physiologist | 1007 River Trail Rd, Pipe Creek, TX 78063-5979 | 2013-03-26 |
| 1568650117 | Byron Black | Physical Therapist | 10857 Kuykendahl Rd, Suite 120, The Woodlands, TX 77382-2935 | 2007-10-09 |
| Street Address |
102 MEMORIAL DR |
| City | RIPLEY |
| State | WV |
| Zip Code | 25271-1164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841693355 | Byron H. Black, Dds, Pllc | Dentist | 102 Memorial Dr, Ripley, WV 25271-1164 | 2014-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316438773 | Road To Recovery, LLC | Family Medicine | 111 Court St S, Ripley, WV 25271 | 2018-05-22 |
| 1003345422 | Patricia Mary Link | Acupuncturist | 2998 Charleston Road, Ste. 5, Ripley, WV 25271 | 2017-06-08 |
| 1518364322 | Michael Gissy | Chiropractor | 368 West Main St, Ripley, WV 25271 | 2014-11-21 |
| 1134564925 | Kassie Lawless | Pharmacist | Mcgraw & Main Street, Ripley, WV 25271 | 2013-05-07 |
| 1881998896 | Maria Danielle Pecka | Pharmacist | Mcgraw & Main St, Ripley, WV 25271 | 2011-01-05 |
| 1760785190 | Erica B Shelton | Pharmacist | Mcgraw and Main Street, Ripley, WV 25271 | 2010-12-07 |
| 1083736714 | Randy Brooks Smith | Dentist | Rt 1 Box 56, Suite 1, Ripley, WV 25271 | 2007-04-04 |
| 1821123605 | Billie Dawn Toler | Internal Medicine | 619 West Main Street, Ripley, WV 25271 | 2007-02-22 |
| 1962541839 | Bio-medical Applications of West Virginia, Inc. | Clinic/Center | 1000 New Stone Ridge Road, Ripley, WV 25271 | 2007-02-06 |
| 1619016037 | Brian J Brown | Orthopaedic Surgery | Jackson General Hospital, 122 Pinnell Street, Ripley, WV 25271 | 2007-02-05 |
| Find all providers in zip 25271 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841693355 | Byron H. Black, Dds, Pllc | Dentist | 102 Memorial Dr, Ripley, WV 25271-1164 | 2014-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194255620 | William Black | Dentist | Room 1200 Hsc North, P.o. Box 9475, Morgantown, WV 26506 | 2017-06-18 |
| 1104359959 | Appalachian Oral Surgery Center | Dentist | 3433 University Ave, Suite 1, Morgantown, WV 26505-3052 | 2017-04-09 |
| 1023318201 | James G Bryant Dmd | Dentist | 5000 Hampton Ctr Ste 1, Morgantown, WV 26505-1709 | 2010-10-22 |
| 1053561779 | Drs Krajekian,brock & Henderson Inc | Dentist | 3135 16th Street Rd, Suite 20, Huntington, WV 25701 | 2008-09-30 |
| 1255544748 | Nahla Chaudhary | Dentist | 1007 Sushruta Dr, Martinsburg, WV 25401-8876 | 2007-05-08 |
| 1164646725 | William A. Myers II Dmd Ltd | Dentist | 1191 Pineview Dr Ste D, Morgantown, WV 26505-2778 | 2007-04-12 |
| 1780729251 | Babak D. Noorbakhsh | Dentist | 2801 Dudley Ave Ste C, Parkersburg, WV 26101-2105 | 2007-02-21 |
| 1659442309 | Edward Elias Howard | Dentist | 1321 Virginia St E, Charleston, WV 25301 | 2006-11-13 |
| 1376614024 | Richard Lee Howard | Dentist | 1321 Virginia St East, Charleston, WV 25301 | 2006-11-13 |
| 1356420186 | Peter James Pangilinan | Dentist | 700 W Pike St, Suite 100, Clarksburg, WV 26301-2696 | 2006-11-03 |
| 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.