DR. ROLAND LEE BLACK D.C NPI 1922176759

NPI Information

NPI: 1922176759
Provider Name: DR. ROLAND LEE BLACK, D.C
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
1585 S SMITHVILLE RD
DAYTON, OH
ZIP 45410
Phone: (937) 253-1543
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DR. Roland Lee Black, D.C is a chiropractor in Dayton, OH. 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. Roland Lee Black, D.C NPI is 1922176759. 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:

1585 S SMITHVILLE RD
DAYTON, OH
ZIP 45410-242
Phone: (937) 253-1543
Fax: (937) 253-5513

The enumeration date for this NPI number is 12/1/2006 and was last updated on 7/8/2007.

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		482	OHIO	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	BL0394582	MEDICARE ID-TYPE UNSPECIFIED	OHIO	MEDICARE
2	000000007157	OTHER	OHIO	ANTHEM
3	T46608	MEDICARE UPIN	OHIO
4	172108394109	OTHER	OHIO	HUMANA

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: 11/14/2023

NPI Synchronization or Removal

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