DR. JERRY BECK BLACK D.D.S.
NPI 1124062872
Dentist in Salt Lake City, UT
NPI Status: Active since June 15, 2006
Contact Information
1925 E 5600 S
SALT LAKE CITY, UT
ZIP 84121
Phone: (801) 278-0458
Fax: (801) 278-0460
- Individual
- Male
- Dentist
About JERRY BLACK
This page provides the complete NPI Profile along with additional information for Jerry Black, a provider established in Salt Lake City, Utah with a medical specialization in Dentist. The healthcare provider is registered in the NPI registry with number 1124062872 assigned on June 2006. The practitioner's primary taxonomy code is 122300000X with license number 137953 (UT). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1124062872
- Provider Name
- DR. JERRY BECK BLACK D.D.S.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1925 E 5600 S SALT LAKE CITY, UT 84121
- Location Phone
- (801) 278-0458
- Location Fax
- (801) 278-0460
- Mailing Address
- 8913 RED WILLOW CIR SANDY, UT 84093
- Mailing Phone
- (801) 255-6742
- Mailing Fax
- (801) 278-0460
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-15-2006
- Last Update Date
- 07-08-2007
- Code Navigator
A dentist like Jerry Black is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist
- Taxonomy Code
- 122300000X
- Type
- Dental Providers
- License No.
- 137953
- License State
- UT
- Taxonomy Description
- A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4671 | OTHER (01) | UT | PEHP |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 2 | 4 | 0 | 6 | 2 | 8 | 7 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 4 | 4 | 0 | 6 | 4 | 8 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 4 + 4 + 0 + 6 + 4 + 8 + 1 + 4 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1124062872 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
DR. WILLIAM PERTTI SUNDBERG DDS
Dentist
1925 E 5600 S
HOLLADAY, UT
ZIP 84121
BRIAN JERRY BLACK D.D.S.
Dentist
(General Practice)
1925 E 5600 S
SALT LAKE CITY, UT
ZIP 84121
BUXTON DENTISTRY
Durable Medical Equipment & Medical Supplies
(Customized Equipment)
1925 E 5600 S
SALT LAKE CITY, UT
ZIP 84121
JERRY B. BLACK, DDS, PC
Dentist
(General Practice)
1925 E 5600 S
SALT LAKE CITY, UT
ZIP 84121
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124062872, enumerated as an "individual" on June 15, 2006.
The provider is located at 1925 E 5600 S SALT LAKE CITY, UT 84121 and the phone number is (801) 278-0458.
Dentist with taxonomy code 122300000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
