DR. HARRISON BLACK D.M.D
NPI 1750780052
Dentist - Pediatric Dentistry in Wichita, KS

Q: What is Harrison Black's NPI number?

The NPI number for Harrison Black is 1750780052. It was assigned to this individual provider in the NPPES registry on August 22, 2014.

Q: What is Harrison Black's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Q: When was this NPI record last updated?

The NPPES record for Harrison Black was last updated on February 28, 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 August 22, 2014PECOS Enrolled

3305 E DOUGLAS AVE STE 101, WICHITA, KS 67218(316) 223-4455(316) 223-4455 Get Directions Write a Review

NPPES record last updated: February 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 28, 2022, Aug 26, 2019, Feb 8, 2017 and 1 more (4 updates tracked since 2016).

On this page

About Dr. Harrison Black D.m.d NPPES

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

DR. HARRISON BLACK D.M.D (NPI 1750780052) is an individual pediatric dentistry provider in Wichita, Kansas, licensed in Kansas (61482) and active in the NPI registry since August 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750780052

Entity TypeIndividualMale

Primary Taxonomy1223P0221X

Provider Legal NameDR. HARRISON BLACKCredential: D.M.D

Location Address3305 E DOUGLAS AVE STE 101Wichita, KS 67218-1037

Mailing Address3305 E Douglas Ave Ste 101Wichita, KS 67218-1037 · (163) 223-4455 · Fax (316) 223-4455

Phone(316) 223-4455

Fax(316) 223-4455

Sole ProprietorNo

Enumeration DateAugust 22, 2014

Last NPPES UpdateFebruary 28, 20224 updates tracked since enumeration

NPPES CertifiedFebruary 28, 2022

✔ NPI 1750780052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

Licenses✔ Licensed in KS · 61482✔ Licensed in FL · DN21749

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Also ListedDentistTaxonomy 122300000X · License 1267 (FL)

3305 E DOUGLAS AVE STE 101, Wichita, KS 67218

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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 Kansas, Inc. 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. Harrison Black D.m.d 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 67218 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

$81.98 typical visit price

range $53.00 – $161.67

Typical copayment $20.49 (range $13.25 – $40.41)

Most-billed visit code 99203

Established Patient

$66.40 typical visit price

range $16.88 – $132.11

Typical copayment $16.60 (range $4.22 – $33.02)

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.

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 Harrison Black's NPI number?

The NPI number for Harrison Black is 1750780052. It was assigned to this individual provider in the NPPES registry on August 22, 2014.

Where is Harrison Black located?

Harrison Black practices at 3305 E Douglas Ave Ste 101, Wichita, KS 67218. The listed phone number is (316) 223-4455.

What is Harrison Black's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Harrison Black enrolled in Medicare?

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

What insurance does Harrison Black accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 8 other insurers list Harrison 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 Harrison Black was last updated on February 28, 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.