Ty Black Dds - Dental Clinic in Tyler, TX

Ty Black Dds is a dental clinic (Dentist) in Tyler, Texas. The current practice location for Ty Black Dds is 5201 S Broadway Ave, St 240, Tyler, Texas. For appointments, you can reach them via phone at (903) 534-8110. The mailing address for Ty Black Dds is 5201 S Broadway Ave, St 240, Tyler, Texas and phone number is (903) 534-8110.

Ty Black Dds is licensed to practice in Texas (license number 20648) and its NPI number is 1437383015. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (903) 534-8110.

Contact Information

Ty Black Dds
5201 S Broadway Ave
St 240
Tyler
TX 75703
(903) 534-8110
(903) 534-5510

Map and Direction


Dental Care Clinic Profile

Full NameTy Black Dds
SpecialityDentist
Location5201 S Broadway Ave, Tyler, Texas
Authorized Official Name and PositionDana Black (OFF MGR)
Authorized Official Contact9035348110
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ty Black Dds
5201 S Broadway Ave
St 240
Tyler
TX 75703-3748

Ph: (903) 534-8110
Ty Black Dds
5201 S Broadway Ave
St 240
Tyler
TX 75703

Ph: (903) 534-8110

NPI Details:

NPI Number1437383015
Provider Enumeration Date05/11/2009
Last Update Date05/11/2009

Medical Identifiers

Medical identifiers for Ty Black Dds such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437383015NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 20648 (Texas)Primary

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.