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

DR. JOHNNY LYNN BLACK D.D.S.
NPI 1437155660
Dentist - General Practice in Shreveport, LA

Q: What is Johnny Black's NPI number?

The NPI number for Johnny Black is 1437155660. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Q: What is Johnny Black's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Johnny Black was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 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.

Active since June 22, 2005PECOS Enrolled

8535 FERN AVE, SHREVEPORT, LA 71105(318) 798-3376(318) 798-3310 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Johnny Lynn Black D.d.s. NPPES

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

DR. JOHNNY LYNN BLACK D.D.S. (NPI 1437155660) is an individual general practice provider in Shreveport, Louisiana, licensed in Louisiana (5309) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437155660

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JOHNNY LYNN BLACKCredential: D.D.S.

Location Address8535 FERN AVEShreveport, LA 71105-5656

Mailing Address8535 Fern AveShreveport, LA 71105-5656 · (318) 798-3376 · Fax (318) 798-3310

Phone(318) 798-3376

Fax(318) 798-3310

Sole ProprietorNo

Enumeration DateJune 22, 2005

Last NPPES UpdateJuly 13, 2026

✔ NPI 1437155660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in LA · 5309

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

8535 FERN AVE, Shreveport, LA 71105

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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 Louisiana, Florida Combined Life, HMO Louisiana.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. Johnny Lynn Black 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 71105 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

$83.60 typical visit price

range $53.43 – $164.73

Typical copayment $20.90 (range $13.35 – $41.18)

Most-billed visit code 99203

Established Patient

$67.06 typical visit price

range $16.64 – $133.62

Typical copayment $16.76 (range $4.16 – $33.40)

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

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

DR. BRIAN BROADWELL D.D.S.

Dentist (General Practice)

8535 FERN AVE
SHREVEPORT, LA 71105

Caddo Parish (318) 798-3376

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 Johnny Black's NPI number?

The NPI number for Johnny Black is 1437155660. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Where is Johnny Black located?

Johnny Black practices at 8535 Fern Ave, Shreveport, LA 71105. The listed phone number is (318) 798-3376.

What is Johnny Black's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Johnny Black enrolled in Medicare?

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

What insurance does Johnny Black accept?

Health plans from Blue Cross and Blue Shield of Louisiana, Florida Combined Life and HMO Louisiana list Johnny 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 Johnny Black was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 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.