Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1801925607 Individual Practitioner Male Practitioner

John R. Black

Dentist - General Practice • Lihue, HI

Professional Overview & Biography Verified Profile Summary

John Black is a registered healthcare professional specializing in Dentist - General Practice in Lihue, HI. Practice services are available at 4347 RICE ST STE 202 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4347 Rice St Ste 202

Lihue, HI 967661335

Telephone 8082453582
Associated Practice Facility / Clinic
🏢 Garden Island Dental Llc Facility NPI 1912591173

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Lihue, HI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.3 Yrs
Regional Practice Density
18 Specialists

Practicing in Lihue, HI (740 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 HI 0921

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
06698901 (HI)
Commercial Insurance / Payer ID Hds Insurance
0921 (ID)
Commercial Insurance / Payer ID Hmsa
00087387 (HI)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 4347 RICE ST STE 202, LIHUE, HI 967661335 (Tel: 8082453582)

📍
Updated Business Mailing Address July 09, 2007

Registered at 4347 RICE ST STE 202, LIHUE, HI 967661335 (Tel: 8082453582)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as JOHN BLACK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #0921 in HI)

🟢
Initial NPI Registration & Enumeration March 05, 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: 1801925607
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 05, 2007
Last Update: July 09, 2007
Sole Proprietor: Yes

Mailing Address

4347 Rice St Ste 202

Lihue, HI 967661335

Phone: 8082453582

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.