DR. JOHN C BLACK III DDS
NPI 1477650455
Dentist - General Practice in Willow Street, PA

Q: What is John Black Iii's NPI number?

The NPI number for John Black Iii is 1477650455. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Q: What is John Black Iii'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 John Black Iii 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.

Active since September 20, 2006PECOS Enrolled

2600 WILLOW STREET PIKE S, WILLOW STREET, PA 17584(717) 464-3223(717) 464-4150 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. John C Black Iii Dds NPPES

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

DR. JOHN C BLACK III DDS (NPI 1477650455) is an individual general practice provider in Willow Street, Pennsylvania, licensed in Pennsylvania (DS026798L) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477650455

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JOHN C BLACK IIICredential: DDS

Location Address2600 WILLOW STREET PIKE SWillow Street, PA 17584-9377

Mailing Address2600 Willow Street Pike SWillow Street, PA 17584-9377 · (717) 464-3223 · Fax (717) 464-4150

Phone(717) 464-3223

Fax(717) 464-4150

Sole ProprietorNo

Enumeration DateSeptember 20, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1477650455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in PA · DS026798L

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.

2600 WILLOW STREET PIKE S, Willow Street, PA 17584

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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. John C Black Iii 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17584 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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 3

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

DR. CONNOR WILLIAM BLACK DMD

Dentist (General Practice)

2600 WILLOW STREET PIKE S
WILLOW STREET, PA 17584

Lancaster County (717) 464-3223

BLACK & BLACK DENTAL LLC

Dentist (General Practice)

2600 WILLOW STREET PIKE S
WILLOW STREET, PA 17584

Lancaster County (717) 464-3223

KENT V. FLINCHBAUGH DPM LTD.

Podiatrist

2600 WILLOW STREET PIKE S
WILLOW STREET, PA 17584

Lancaster County (717) 464-2751

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 John Black Iii's NPI number?

The NPI number for John Black Iii is 1477650455. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is John Black Iii located?

John Black Iii practices at 2600 Willow Street Pike S, Willow Street, PA 17584. The listed phone number is (717) 464-3223.

What is John Black Iii's specialty?

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

Is John Black Iii enrolled in Medicare?

Yes. John Black Iii is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Black Iii 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.