ANTHONY J. BLACK D.D.S.
NPI 1992927115
Dentist - General Practice in Herndon, VA

Active since May 03, 2007Opted out of Medicare · through Aug 8, 2027
12950 HIGHLAND CROSSING DR, SUITE F, HERNDON, VA 20171(703) 787-9670 Get Directions Write a Review

NPPES record last updated: May 14, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Anthony J. Black D.d.s. NPPES

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

ANTHONY J. BLACK D.D.S. (NPI 1992927115) is an individual general practice provider in Herndon, Virginia, licensed in Virginia (0401410749) and active in the NPI registry since May 2007. He has opted out of Medicare through August 8, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1992927115
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameANTHONY J. BLACKCredential: D.D.S.
Location Address12950 HIGHLAND CROSSING DR, SUITE FHerndon, VA 20171-5888
Mailing Address12950 Highland Crossing Dr, Suite FHerndon, VA 20171-5888 · (703) 787-9670
Sole ProprietorNo
Enumeration DateMay 3, 2007
Last NPPES UpdateMay 14, 2010
NPI 1992927115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in VA · 0401410749
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.
12950 HIGHLAND CROSSING DR, Herndon, VA 20171

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Anthony J. Black D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 8, 2017 through August 8, 2027.

Opt-Out Effective DateAugust 8, 2017
Opt-Out In Effect ThroughAugust 8, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20171 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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 3

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

Dentist
12950 HIGHLAND CROSSING DR, SUITE F
HERNDON, VA 20171
Dentist (General Practice)
12950 HIGHLAND CROSSING DR, SUITE F
HERNDON, VA 20171
Dentist
12950 HIGHLAND CROSSING DR, SUITE F
HERNDON, VA 20171

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 Anthony Black's NPI number?

The NPI number for Anthony Black is 1992927115. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Where is Anthony Black located?

Anthony Black practices at 12950 Highland Crossing Dr Suite F, Herndon, VA 20171. The listed phone number is (703) 787-9670.

What is Anthony Black's specialty?

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

Is Anthony Black enrolled in Medicare?

No. Anthony Black has opted out of Medicare through August 8, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Anthony Black accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Anthony 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 Anthony Black was last updated on May 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.