Paul R Black DDS PC
NPI 1487192407 · General Practice Dentistry · Bettendorf, IA
Enrolled with Medicare as Dme Supplier - Oral Surgery - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Paul R Black DDS PC is a General Practice Dentistry organization in Bettendorf, IA (NPI 1487192407).
Provider details
- NPI number
- 1487192407
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Paul Black, Owner(563) 359-8271
- License
- 7060 (IA)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
Mailing address
Registry dates
- Enumerated
- 2017-02-09
- Last updated
- 2025-11-26
- Certified
- 2025-11-26
Frequently asked questions
- What is Paul R Black DDS PC's NPI number?
- Paul R Black DDS PC's National Provider Identifier (NPI) is 1487192407, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Paul R Black DDS PC?
- Paul R Black DDS PC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Paul R Black DDS PC located?
- Paul R Black DDS PC's practice location on file with NPPES is 2525 Kimberly Rd Ste 3, Bettendorf, IA 52722-3538.
- What is Paul R Black DDS PC's phone number?
- The practice phone number listed in the NPPES registry for Paul R Black DDS PC is (563) 359-8271.
- Does Paul R Black DDS PC accept Medicare?
- Paul R Black DDS PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Paul R Black DDS PC?
- The authorized official listed on Paul R Black DDS PC's NPPES record is Paul Black, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Paul R Black DDS PC's NPI active?
- Yes — Paul R Black DDS PC's NPI (1487192407) is active in the NPPES registry as of the last update on 2025-11-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.