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DR. ERIC BLACK DDS
NPI 1154364305
Dentist - Dental Public Health in Green Valley, AZ

Active since June 14, 2006PECOS Enrolled
1260 S CAMPBELL AVE, GREEN VALLEY, AZ 85614(520) 407-5617 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 21, 2026, Jul 2, 2021 (2 updates tracked since 2021).

About Dr. Eric Black Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ERIC BLACK DDS (NPI 1154364305) is an individual dental public health provider in Green Valley, Arizona, licensed in Arizona (6899) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154364305
Entity TypeIndividualMale
Primary Taxonomy1223D0001X
Provider Legal NameDR. ERIC BLACKCredential: DDS
Location Address1260 S CAMPBELL AVEGreen Valley, AZ 85614-0504
Mailing Address1260 S Campbell AveGreen Valley, AZ 85614-0504 · (520) 407-5600 · Fax (520) 407-5990
Phone(520) 407-5617
Sole ProprietorNo
Enumeration DateJune 14, 2006
Last NPPES UpdateApril 21, 20262 updates tracked since enumeration
NPPES CertifiedApril 21, 2026
✔ NPI 1154364305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Dental Public HealthDental Providers
Taxonomy Code1223D0001X
License✔ Licensed in AZ · 6899
Definition
The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.
Also ListedDentistTaxonomy 122300000X · License DD2687 (NM)
1260 S CAMPBELL AVE, Green Valley, AZ 85614
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Other Identifiers 1

Medicaid974156AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Anthem Blue Cross and Blue Shield and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Eric Black Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Eric Black reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

United Community Health Center - Maria Auxiliadora, Inc.
Same address
Federally Qualified Health Center (FQHC)
1260 S. CAMPBELL AVENUE
Green Valley, AZ 85614
  • Reassigned Medicare billing, Arizona enrollment
  • 35 clinicians in this Medicare group
NPI 1093766867 (520) 407-5606

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85614 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RACHEL TENNESSEE HARDY D.O.
Pediatrics
1260 S CAMPBELL AVE
GREEN VALLEY, AZ 85614
Pima County (520) 407-5600
MRS. LYNN PATRICE MURPHY NURSE PRACTITIONER
Nurse Practitioner (Pediatrics)
1260 S CAMPBELL AVE
GREEN VALLEY, AZ 85614
Pima County (520) 407-5600
KIRSTEN DOMINIQUE HART RENTFROW FNP
Nurse Practitioner (Pediatrics)
1260 S CAMPBELL AVE
GREEN VALLEY, AZ 85614
Pima County (520) 407-5600
DR. AMY JEAN ROSENBERG M.D.
Family Medicine
1260 S CAMPBELL AVE, BUILDING 2
GREEN VALLEY, AZ 85614
Pima County (520) 407-5400
HANNAH MORSE VOGAN-DAREZZO
Nurse Practitioner (Family)
1260 S CAMPBELL AVE
GREEN VALLEY, AZ 85614
Pima County (520) 407-5600
DR. CHRISTINA MARIA WEISSAUER - CONDON M.D.
Pediatrics
1260 S CAMPBELL AVE
GREEN VALLEY, AZ 85614
Pima County (520) 407-5600
UNITED COMMUNITY HEALTH CENTER-MARIA AUXILIADORA, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
1260 S CAMPBELL AVE
GREEN VALLEY, AZ 85614
Pima County (520) 407-5606
ANTIONETTE NMN DENNIS-TODD
Nurse Practitioner
1260 S CAMPBELL AVE, UCHC CONTINENTAL FAMILY MEDICAL CENTER
GREEN VALLEY, AZ 85614
Pima County (520) 407-5900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eric Black's NPI number?

The NPI number for Eric Black is 1154364305. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Eric Black located?

Eric Black practices at 1260 S Campbell Ave, Green Valley, AZ 85614. The listed phone number is (520) 407-5617.

What is Eric Black's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dental Public Health, with taxonomy code 1223D0001X.

Is Eric Black enrolled in Medicare?

Yes. Eric Black is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Eric Black's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eric Black reassigns Medicare benefits to United Community Health Center - Maria Auxiliadora, Inc. (Green Valley, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Eric Black's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Eric Black accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life and Blue Cross Blue Shield of Arizona and 15 other insurers list Eric Black as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eric Black was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.