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DR. PAUL RALPH BLACK JR. D.D.S.
NPI 1427101567
Dentist in Bettendorf, IA

Active since January 20, 2007PECOS Enrolled
2525 KIMBERLY RD, SUITE#3, BETTENDORF, IA 52722(563) 359-8271(563) 359-8272 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Paul Ralph Black Jr. D.d.s. NPPES

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

DR. PAUL RALPH BLACK JR. D.D.S. (NPI 1427101567) is an individual dentist in Bettendorf, Iowa, licensed in Iowa (7060) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427101567
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. PAUL RALPH BLACK JR.Credential: D.D.S.
Location Address2525 KIMBERLY RD, SUITE#3Bettendorf, IA 52722-3538
Mailing Address2525 Kimberly Rd, Suite#3Bettendorf, IA 52722-3538 · (563) 359-8271 · Fax (563) 359-8272
Phone(563) 359-8271
Fax(563) 359-8272
Sole ProprietorYes
Enumeration DateJanuary 20, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1427101567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IA · 7060
Definition
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.
2525 KIMBERLY RD, Bettendorf, IA 52722
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Paul Ralph Black Jr. D.d.s. 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 52722 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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 4

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

DR. ROBERT THOMAS KAMINSKI D.C.
Chiropractor
2525 KIMBERLY RD, SUITE 1
BETTENDORF, IA 52722
Scott County (563) 344-0777
KAMINSKI PAIN AND PERFORMANCE CARE,P.C.
Chiropractor
2525 KIMBERLY RD, SUITE 1
BETTENDORF, IA 52722
Scott County (563) 344-0777
DR. KIMBERLY SUE LAKE D.C.
Chiropractor
2525 KIMBERLY RD, STE #1
BETTENDORF, IA 52722
Scott County (563) 344-0777
KYLE DIRCK DC
Chiropractor
2525 KIMBERLY RD
BETTENDORF, IA 52722
Scott County (563) 344-0777

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 Paul Black's NPI number?

The NPI number for Paul Black is 1427101567. It was assigned to this individual provider in the NPPES registry on January 20, 2007.

Where is Paul Black located?

Paul Black practices at 2525 Kimberly Rd Suite#3, Bettendorf, IA 52722. The listed phone number is (563) 359-8271.

What is Paul Black's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Paul Black enrolled in Medicare?

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

What insurance does Paul Black accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of Iowa list Paul 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 Paul Black was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.