JAMES TILLMAN BLACK JR. DDS
NPI 1801092648
Dentist - General Practice in Los Angeles, CA

Active since June 26, 2007PECOS Enrolled
3015 CRENSHAW BLVD, LOS ANGELES, CA 90016(323) 731-0801(323) 731-1351 Get Directions Write a Review

NPPES record last updated: April 6, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About James Tillman Black Jr. Dds NPPES

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

JAMES TILLMAN BLACK JR. DDS (NPI 1801092648) is an individual general practice provider in Los Angeles, California, licensed in California (44148) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801092648
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJAMES TILLMAN BLACK JR.Credential: DDS
Location Address3015 CRENSHAW BLVDLos Angeles, CA 90016-4264
Mailing Address3015 Crenshaw BlvdLos Angeles, CA 90016-4264 · (323) 731-0801 · Fax (323) 731-1351
Fax(323) 731-1351
Sole ProprietorNo
Enumeration DateJune 26, 2007
Last NPPES UpdateApril 6, 2017
NPI 1801092648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 44148
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.

3015 CRENSHAW BLVD, Los Angeles, CA 90016

Accepted 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)

James Tillman Black Jr. 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 90016 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 6

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

Dentist (General Practice)
3015 CRENSHAW BLVD, SUITE A
LOS ANGELES, CA 90016
Dentist (General Practice)
3015 CRENSHAW BLVD
LOS ANGELES, CA 90016
Dentist (General Practice)
3015 CRENSHAW BLVD
LOS ANGELES, CA 90016
Dentist (Oral and Maxillofacial Surgery)
3015 CRENSHAW BLVD, SUITE C
LOS ANGELES, CA 90016
Dentist
3015 CRENSHAW BLVD, SUITE B
LOS ANGELES, CA 90016
Dentist (General Practice)
3015 CRENSHAW BLVD
LOS ANGELES, CA 90016

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801092648, enumerated as an "individual" on June 26, 2007.

The provider is located at 3015 CRENSHAW BLVD LOS ANGELES, CA 90016 and the phone number is (323) 731-0801.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: BEST Life, Blue Cross and Blue Shield of Montana,. Please consult your insurance carrier or call the provider to verify.