James T. Black, DDS a Professional Dental Corporation
NPI 1871631622 · General Practice Dentistry · Los Angeles, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
James T. Black, DDS a Professional Dental Corporation is a General Practice Dentistry organization in Los Angeles, CA (NPI 1871631622).
Provider details
- NPI number
- 1871631622
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jeanine Black, Business Administrator(323) 731-0801
- License
- 17880 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Other names (DBA / former)
- Doing business as
- Dba Crenshaw Professional Dental Center
Registry dates
- Enumerated
- 2007-02-02
- Last updated
- 2017-04-11
Frequently asked questions
- What is James T. Black, DDS a Professional Dental Corporation's NPI number?
- James T. Black, DDS a Professional Dental Corporation's National Provider Identifier (NPI) is 1871631622, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is James T. Black, DDS a Professional Dental Corporation?
- James T. Black, DDS a Professional Dental Corporation is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is James T. Black, DDS a Professional Dental Corporation located?
- James T. Black, DDS a Professional Dental Corporation's practice location on file with NPPES is 3015 Crenshaw Blvd, Los Angeles, CA 90016-4264.
- What is James T. Black, DDS a Professional Dental Corporation's phone number?
- The practice phone number listed in the NPPES registry for James T. Black, DDS a Professional Dental Corporation is (323) 731-0801.
- Does James T. Black, DDS a Professional Dental Corporation accept Medicare?
- James T. Black, DDS a Professional Dental Corporation 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 James T. Black, DDS a Professional Dental Corporation?
- The authorized official listed on James T. Black, DDS a Professional Dental Corporation's NPPES record is Jeanine Black, Business Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is James T. Black, DDS a Professional Dental Corporation's NPI active?
- Yes — James T. Black, DDS a Professional Dental Corporation's NPI (1871631622) is active in the NPPES registry as of the last update on 2017-04-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.