BRIAN JERRY BLACK D.D.S.
NPI 1457589483
Dentist - General Practice in Salt Lake City, UT

Q: What is Brian Black's NPI number?

The NPI number for Brian Black is 1457589483. It was assigned to this individual provider in the NPPES registry on June 29, 2009.

Q: What is Brian 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 Brian Black was last updated on June 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since June 29, 2009PECOS Enrolled

1925 E 5600 S, SALT LAKE CITY, UT 84121(801) 278-0458(801) 278-0460 Get Directions Write a Review

NPPES record last updated: June 29, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Brian Jerry Black D.d.s. NPPES

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

BRIAN JERRY BLACK D.D.S. (NPI 1457589483) is an individual general practice provider in Salt Lake City, Utah, licensed in Utah (7386388-9922) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457589483

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameBRIAN JERRY BLACKCredential: D.D.S.

Location Address1925 E 5600 SSalt Lake City, UT 84121-1351

Mailing Address1925 E 5600 SSalt Lake City, UT 84121-1351 · (801) 278-0458 · Fax (801) 278-0460

Phone(801) 278-0458

Fax(801) 278-0460

Sole ProprietorNo

Enumeration DateJune 29, 2009

✔ NPI 1457589483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in UT · 7386388-9922

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.

1925 E 5600 S, Salt Lake City, UT 84121

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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)

Brian Jerry 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 84121 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

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

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. JERRY BECK BLACK D.D.S.

Dentist

1925 E 5600 S
SALT LAKE CITY, UT 84121

Salt Lake County (801) 278-0458

JERRY B. BLACK, DDS, PC

Dentist (General Practice)

1925 E 5600 S
SALT LAKE CITY, UT 84121

Salt Lake County (801) 278-0458

DR. WILLIAM PERTTI SUNDBERG DDS

Dentist

1925 E 5600 S
HOLLADAY, UT 84121

Salt Lake County (801) 278-0458

BUXTON DENTISTRY

Durable Medical Equipment & Medical Supplies (Customized Equipment)

1925 E 5600 S
SALT LAKE CITY, UT 84121

Salt Lake County (801) 278-3214

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 Brian Black's NPI number?

The NPI number for Brian Black is 1457589483. It was assigned to this individual provider in the NPPES registry on June 29, 2009.

Where is Brian Black located?

Brian Black practices at 1925 E 5600 S, Salt Lake City, UT 84121. The listed phone number is (801) 278-0458.

What is Brian Black's specialty?

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

Is Brian Black enrolled in Medicare?

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

What insurance does Brian Black accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BridgeSpan Health Company and 8 other insurers list Brian 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 Brian Black was last updated on June 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.