DR. BYRON HAL BLACK DDS
NPI 1528041399
Dentist - Oral and Maxillofacial Surgery in Ripley, WV

Q: What is Byron Black's NPI number?

The NPI number for Byron Black is 1528041399. It was assigned to this individual provider in the NPPES registry on November 25, 2005.

Q: What is Byron Black's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Byron Black was last updated on August 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 November 25, 2005PECOS EnrolledCLIA Certified · 2 labs

102 MEMORIAL DR, RIPLEY, WV 25271(304) 514-5500(304) 514-5504 Get Directions Write a Review

NPPES record last updated: August 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Byron Hal Black Dds NPPES

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

DR. BYRON HAL BLACK DDS (NPI 1528041399) is an individual oral and maxillofacial surgery provider in Ripley, West Virginia, licensed in West Virginia (2081) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, holds 2 active CLIA laboratory certificates, and maintains a secondary practice location in Charleston.

NPPES Registry Identity

NPI1528041399

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. BYRON HAL BLACKCredential: DDS

Location Address102 MEMORIAL DRRipley, WV 25271-1164

Mailing Address102 Memorial DrRipley, WV 25271 · (304) 514-5500 · Fax (304) 514-5504

Phone(304) 514-5500

Fax(304) 514-5504

Sole ProprietorNo

Enumeration DateNovember 25, 2005

Last NPPES UpdateAugust 5, 2022

NPPES CertifiedAugust 5, 2022

✔ NPI 1528041399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in WV · 2081

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

102 MEMORIAL DR, Ripley, WV 25271

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Secondary Practice Location 1

Location 11218 Virginia Street East, Suite DCharleston, WV 25301 · Phone (304) 514-5500 · Fax (304) 514-5504

Other Identifiers 1

Medicaid0138164000WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana 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. Byron Hal Black 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.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 51D2089419

Byron H Black Dds PLLC · Ripley, WV

Active · expires Dec 29, 2026

CLIA Number51D2089419

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateDecember 30, 2024

Certificate Expiration DateDecember 29, 2026

Laboratory DirectorDr. Byron H. Black Dds

Laboratory Phone(304) 514-5500

Laboratory LocationByron H Black Dds PLLC102 Memorial Drive, Ripley, WV 25271

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 51D2161056

Dr Byron H Black, Dds, PLLC Dba Mountaineer Oral & Maxillofacialsurgeons · Charleston, WV

Active · expires Jan 24, 2027

CLIA Number51D2161056

Laboratory TypePhysician Office

Certificate Effective DateJanuary 25, 2025

Certificate Expiration DateJanuary 24, 2027

Laboratory DirectorDr. Byron H. Black

Laboratory Phone(304) 514-5500

Laboratory LocationDr Byron H Black, Dds, PLLC Dba Mountaineer Oral & Maxillofacialsurgeons1215 Virginia Street East, Charleston, WV 25301

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25271 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

$83.49 typical visit price

range $53.20 – $164.59

Typical copayment $20.87 (range $13.30 – $41.14)

Most-billed visit code 99203

Established Patient

$66.84 typical visit price

range $16.47 – $133.29

Typical copayment $16.71 (range $4.11 – $33.32)

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.

BYRON H. BLACK, DDS, PLLC

Dentist (Oral and Maxillofacial Surgery)

102 MEMORIAL DR
RIPLEY, WV 25271

Jackson County (304) 514-5500

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 Byron Black's NPI number?

The NPI number for Byron Black is 1528041399. It was assigned to this individual provider in the NPPES registry on November 25, 2005.

Where is Byron Black located?

Byron Black practices at 102 Memorial Dr, Ripley, WV 25271. The listed phone number is (304) 514-5500.

What is Byron Black's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Byron Black enrolled in Medicare?

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

Does Byron Black hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Byron Black accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list Byron 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 Byron Black was last updated on August 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.