Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KENDALL BLACK MD
NPI 1194461202
Dermatology in Dallas, TX

Active since May 11, 2022PECOS Enrolled
411 N WASHINGTON AVE STE 7300, DALLAS, TX 75246(214) 296-4477 Get Directions Write a Review

NPPES record last updated: August 28, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 28, 2026, May 11, 2022 (2 updates tracked since 2022).

About Kendall Black Md NPPES

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

KENDALL BLACK MD (NPI 1194461202) is an individual dermatology provider in Dallas, Texas, licensed in Texas (W7969) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194461202
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameKENDALL BLACKCredential: MD
Location Address411 N WASHINGTON AVE STE 7300Dallas, TX 75246-1751
Mailing Address7136 Lyre LnDallas, TX 75214-2933 · (972) 821-3063
Sole ProprietorYes
Enumeration DateMay 11, 2022
Last NPPES UpdateAugust 28, 20262 updates tracked since enumeration
NPPES CertifiedAugust 28, 2026
NPI 1194461202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in TX · W7969
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 57.253465 (OH)
411 N WASHINGTON AVE STE 7300, Dallas, TX 75246

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kendall Black Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75246 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
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 2

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

Physical Medicine & Rehabilitation
411 N WASHINGTON AVE STE 7300
DALLAS, TX 75246
Dermatology
411 N WASHINGTON AVE STE 7300
DALLAS, TX 75246

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 Kendall Black's NPI number?

The NPI number for Kendall Black is 1194461202. It was assigned to this individual provider in the NPPES registry on May 11, 2022.

Where is Kendall Black located?

Kendall Black practices at 411 N Washington Ave Ste 7300, Dallas, TX 75246. The listed phone number is (214) 296-4477.

What is Kendall Black's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Kendall Black enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kendall Black was last updated on August 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.