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Deactivated NPI 1437350097 Deactivated / Inactive NPI Male Practitioner

Dr. Sherwin J Black , DDS

Dentist - General Practice • Antioch, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Sherwin Black has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 30, 2007
NPI Deactivation Date July 06, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Sherwin Black, DDS was a registered Dentist - General Practice practicing in Antioch, CA. Throughout an active medical career spanning 15 years, Dr. Black provided care at the practice location at 3725 LONE TREE WAY until profile deactivation on 2022-07-06.

Practice Location & Contact Primary Location

Practice Address

3725 Lone Tree Way

Antioch, CA 94509

Telephone 9257578246
Fax 9257571213
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Antioch, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
43 Specialists

Practicing in Antioch, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 18448

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1205885720

Doctor of Chiropractic

Dr. Maria Barnhart , PhD

Psychologist - Clinical

NPI 1417067232

Doctor of Philosophy (Ph.D.)

Joyce Wu , LAC

Acupuncturist

NPI 1700175502

Licensed Acupuncturist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 06, 2022

Record deactivated on July 06, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 3725 LONE TREE WAY, ANTIOCH, CA 94509 (Tel: 9257578246)

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Updated Business Mailing Address July 08, 2007

Registered at 2055 ROBB RD, WALNUT CREEK, CA 94596 (Tel: 9259470712)

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Provider Name / Credentials Updated July 08, 2007

Recorded as SHERWIN BLACK, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #18448 in CA)

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Initial NPI Registration & Enumeration May 30, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1437350097
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 30, 2007
Last Update: July 08, 2007
Deactivation Date: July 06, 2022

Mailing Address

2055 Robb Rd

Walnut Creek, CA 94596

Phone: 9259470712

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.