DR. CARL ROBERT BLACK DC NPI 1730185794

NPI Information

NPI: 1730185794
Provider Name: DR. CARL ROBERT BLACK, DC
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
502 1ST AVE SE
LAMOURE, ND
ZIP 58458
Phone: (701) 883-4276
Get Directions

DR. Carl Robert Black, DC is a chiropractor in Lamoure, ND. The provider is 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. DR. Carl Robert Black, DC NPI is 1730185794. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

502 1ST AVE SE
LAMOURE, ND
ZIP 58458-109
Phone: (701) 883-4276

The enumeration date for this NPI number is 6/23/2005 and was last updated on 4/29/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		834	NORTH DAKOTA	No
2	111N00000X	Chiropractor		658	SOUTH DAKOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7602370	MEDICAID	SOUTH DAKOTA
2	10402	MEDICAID	NORTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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