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DR. DEREK ROBERT BLACK D.C.
NPI 1881781490
Chiropractor in Beavercreek, OH

Active since October 06, 2006Accepts Medicare Assignment
3060 DAYTON XENIA RD, SUITE A, BEAVERCREEK, OH 45434(937) 427-2225(937) 431-1722 Get Directions Write a Review

NPPES record last updated: October 24, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Derek Robert Black D.c. NPPES

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

DR. DEREK ROBERT BLACK D.C. (NPI 1881781490) is an individual chiropractor in Beavercreek, Ohio, licensed in Ohio (2227) and active in the NPI registry since October 2006. He is a graduate of Los Angeles College Of Chiropractic (1994).

NPPES Registry Identity

NPI1881781490
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. DEREK ROBERT BLACKCredential: D.C.
Location Address3060 DAYTON XENIA RD, SUITE ABeavercreek, OH 45434-6308
Mailing Address3060 Dayton Xenia Rd, Suite ABeavercreek, OH 45434-6308 · (937) 427-2225 · Fax (937) 431-1722
Phone(937) 427-2225
Fax(937) 431-1722
Sole ProprietorNo
Medical School CMSLos Angeles College Of ChiropracticGraduated 1994
Enumeration DateOctober 6, 2006
Last NPPES UpdateOctober 24, 2022
NPPES CertifiedOctober 24, 2022
✔ NPI 1881781490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in OH · 2227
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Also ListedAcupuncturistTaxonomy 171100000X
3060 DAYTON XENIA RD, Beavercreek, OH 45434
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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, MedMutual, Paramount and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Derek Robert Black D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163406216
PECOS Enrollment IDI20120404000722

Medicare Billing Reassignment

Medicare enrollment records show Derek Black reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Advanced Medical & Wellness Center, Inc.
Same address
General Practice
3060 DAYTON XENIA RD STE A
Beavercreek, OH 45434
  • Reassigned Medicare billing, Ohio enrollment
  • 6 clinicians in this Medicare group
NPI 1598281057 (937) 427-2225

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
669 services116 patients
Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
356 services52 patients

Other Providers at the Same Location NPPES 12

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

BEAVERCREEK CHIROPRACTIC & INJURY TREATMENT CTR., INC.
Chiropractor
3060 DAYTON XENIA RD, SUITE A
BEAVERCREEK, OH 45434
Greene County (937) 427-2225
MISS JACQUELYN R JONES LMT
Massage Therapist
3060 DAYTON XENIA RD, SUITE A
BEAVERCREEK, OH 45434
Greene County (937) 427-2225
DR. JUSTIN VINSON D.C.
Chiropractor
3060 DAYTON XENIA RD, STE A
BEAVERCREEK, OH 45434
Greene County (937) 427-2225
MRS. ANGELA ROSE BOYD LMT
Massage Therapist
3060 DAYTON XENIA RD, SUITE A
BEAVERCREEK, OH 45434
Greene County (937) 427-2225
DOOLEY CHIROPRACTIC LLC
Clinic/Center (Health Service)
3060 DAYTON XENIA RD, SUITE A
BEAVERCREEK, OH 45434
Greene County (937) 427-2225
SONG-HWI CHI
Acupuncturist
3060 DAYTON XENIA RD, SUITE A
BEAVERCREEK, OH 45434
Greene County (937) 427-2225
ROBERT MCNEAL ATC
Specialist/Technologist (Athletic Trainer)
3060 DAYTON XENIA RD, SUITE A
BEAVERCREEK, OH 45434
Greene County (937) 427-2225
KAITLIN MARIE MULCAHY LMT
Massage Therapist
3060 DAYTON XENIA RD
BEAVERCREEK, OH 45434
Greene County (937) 427-2225

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 Derek Black's NPI number?

The NPI number for Derek Black is 1881781490. It was assigned to this individual provider in the NPPES registry on October 6, 2006.

Where is Derek Black located?

Derek Black practices at 3060 Dayton Xenia Rd Suite A, Beavercreek, OH 45434. The listed phone number is (937) 427-2225.

What is Derek Black's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Derek Black enrolled in Medicare?

Yes. Derek Black is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Derek Black's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Derek Black reassigns Medicare benefits to Advanced Medical & Wellness Center, Inc. (Beavercreek, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Derek Black's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Derek Black accept?

Health plans from Anthem Blue Cross and Blue Shield, MedMutual, Paramount and Providence Health Plan list Derek 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 Derek Black was last updated on October 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.