DR. KURT S. BLACK D.D.S.
NPI 1497740427
Dentist - General Practice in Corvallis, OR

Q: What is Kurt Black's NPI number?

The NPI number for Kurt Black is 1497740427. It was assigned to this individual provider in the NPPES registry on September 15, 2005.

Q: What is Kurt Black's specialty?

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

Q: Is Kurt Black enrolled in Medicare?

No. Kurt Black has opted out of Medicare through August 20, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Kurt Black was last updated on August 6, 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 15, 2005Opted out of Medicare · through Aug 20, 2027

2356 NW PROFESSIONAL DR, CORVALLIS, OR 97330(541) 754-0144(541) 754-0145 Get Directions Write a Review

NPPES record last updated: August 6, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Kurt S. Black D.d.s. NPPES

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

DR. KURT S. BLACK D.D.S. (NPI 1497740427) is an individual general practice provider in Corvallis, Oregon, licensed in Oregon (D6925) and active in the NPI registry since September 2005. He has opted out of Medicare through August 20, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1497740427

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. KURT S. BLACKCredential: D.D.S.

Location Address2356 NW PROFESSIONAL DRCorvallis, OR 97330-3881

Mailing Address2356 Nw Professional DrCorvallis, OR 97330-3881 · (541) 754-0144 · Fax (541) 754-0145

Phone(541) 754-0144

Fax(541) 754-0145

Sole ProprietorYes

Enumeration DateSeptember 15, 2005

Last NPPES UpdateAugust 6, 2007

✔ NPI 1497740427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in OR · D6925

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.

2356 NW PROFESSIONAL DR, Corvallis, OR 97330

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Kurt S. Black D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 20, 2013 through August 20, 2027.

Opt-Out Effective DateAugust 20, 2013

Opt-Out In Effect ThroughAugust 20, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97330 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.68 – $136.19

Typical copayment $17.16 (range $4.42 – $34.04)

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.

KURT S BLACK DDS, PC

Dentist (General Practice)

2356 NW PROFESSIONAL DR
CORVALLIS, OR 97330

Benton County (541) 754-0144

DR. JAMES CRAIG MEANS JR. DMD

Dentist (General Practice)

2356 NW PROFESSIONAL DR
CORVALLIS, OR 97330

Benton County (541) 754-0144

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 Kurt Black's NPI number?

The NPI number for Kurt Black is 1497740427. It was assigned to this individual provider in the NPPES registry on September 15, 2005.

Where is Kurt Black located?

Kurt Black practices at 2356 NW Professional Dr, Corvallis, OR 97330. The listed phone number is (541) 754-0144.

What is Kurt Black's specialty?

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

Is Kurt Black enrolled in Medicare?

No. Kurt Black has opted out of Medicare through August 20, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Kurt Black was last updated on August 6, 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.