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KENNETH MASON BLACK DDS
NPI 1689793101
Dentist - General Practice in Chapel Hill, NC

Active since March 28, 2007PECOS Enrolled
427 MEADOWMONT VILLAGE CIR, CHAPEL HILL, NC 27517(919) 969-9330(919) 969-2774 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenneth Mason Black Dds NPPES

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

KENNETH MASON BLACK DDS (NPI 1689793101) is an individual general practice provider in Chapel Hill, North Carolina, licensed in North Carolina (6123) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689793101
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameKENNETH MASON BLACKCredential: DDS
Location Address427 MEADOWMONT VILLAGE CIRChapel Hill, NC 27517-7506
Mailing Address1201 Long Gate WayApex, NC 27502-2242
Phone(919) 969-9330
Fax(919) 969-2774
Sole ProprietorNo
Enumeration DateMarch 28, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1689793101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NC · 6123
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.
427 MEADOWMONT VILLAGE CIR, Chapel Hill, NC 27517
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Other Identifiers 2

Medicaid5902391NC
Medicaid7990772NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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)

Kenneth Mason 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27517 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

COREY W. WILSON DDS PA
Dentist (General Practice)
427 MEADOWMONT VILLAGE CIR
CHAPEL HILL, NC 27517
Chatham County (919) 969-9330
JERRE L KENNEDY DDS
Dentist (General Practice)
427 MEADOWMONT VILLAGE CIR
CHAPEL HILL, NC 27517
Chatham County (919) 969-9330

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 Kenneth Black's NPI number?

The NPI number for Kenneth Black is 1689793101. It was assigned to this individual provider in the NPPES registry on March 28, 2007.

Where is Kenneth Black located?

Kenneth Black practices at 427 Meadowmont Village Cir, Chapel Hill, NC 27517. The listed phone number is (919) 969-9330.

What is Kenneth Black's specialty?

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

Is Kenneth Black enrolled in Medicare?

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

What insurance does Kenneth Black accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and BEST Life and 13 other insurers list Kenneth 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 Kenneth Black was last updated on July 9, 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.