OrganizationActive
Ty Black DDS
NPI 1437383015 · Dentist · Tyler, TX
Ty Black DDS is a Dentist organization in Tyler, TX (NPI 1437383015).
Provider details
- NPI number
- 1437383015
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Dana Black, Off Mgr(903) 534-8110
- License
- 20648 (TX)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5201 S Broadway Ave
St 240
Tyler, TX 75703
Phone: (903) 534-8110
Fax: (903) 534-5510
Street-level locationGet directions
Mailing address
5201 S Broadway Ave
Tyler, TX 75703-3748
Registry dates
- Enumerated
- 2009-05-11
- Last updated
- 2009-05-11
Frequently asked questions
- What is Ty Black DDS's NPI number?
- Ty Black DDS's National Provider Identifier (NPI) is 1437383015, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ty Black DDS?
- Ty Black DDS is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Ty Black DDS located?
- Ty Black DDS's practice location on file with NPPES is 5201 S Broadway Ave, Tyler, TX 75703.
- What is Ty Black DDS's phone number?
- The practice phone number listed in the NPPES registry for Ty Black DDS is (903) 534-8110.
- Who is the authorized official for Ty Black DDS?
- The authorized official listed on Ty Black DDS's NPPES record is Dana Black, Off Mgr. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ty Black DDS's NPI active?
- Yes — Ty Black DDS's NPI (1437383015) is active in the NPPES registry as of the last update on 2009-05-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.