DR. CRAIG MARTIN BLACK (DC) – Chiropractor, NPI 1912083916

DR. CRAIG MARTIN BLACK (DC) is a healthcare provider. based in Gardnerville, Nevada. specializing in Chiropractor. They hold the professional credentials DC. They hold a License No. B01023 (NV). The NPI Number for DR. CRAIG MARTIN BLACK (DC) is 1912083916

Main info

Male
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. CRAIG MARTIN BLACK (DC)
NPI
1912083916
Phone
(775) 783-3494
Address
1255 HWY 395 N
Enumeration Date
31 October 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
LIFE CHIROPRACTIC COLLEGE - WEST
Secondary Phone
7752654215
Graduation Year
2004 (22 years ago)
PAC ID
3476506619
Group Practice PAC ID
8527971662
Professional Enrollment ID
I20151118000188
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for DR. CRAIG MARTIN BLACK (DC)

  • 1255 HWY 395 N

    SUITE B

    GARDNERVILLE, NV 89410

    Phone: (775) 783-3494

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-04-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151118000188IChiropracticTXTBD
I20180406002314IChiropracticNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89410)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8527971662View full group profile
NameSpecialtyState
Geriatric MedicineNV
General PracticeNV
O P T O M E T R YNV
C H I R O P R A C T I CUT
Nurse PractitionerNV
Nurse PractitionerNV
Family PracticeNV
P O D I A T R YCA
Nurse PractitionerNV
Registered Dietitian Or Nutrition ProfessionalNV

Reviews

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Frequently asked questions

What is DR. CRAIG MARTIN BLACK (DC)'s NPI number?
DR. CRAIG MARTIN BLACK (DC)'s NPI is 1912083916 — the number used across U.S. healthcare to identify this provider.
Is DR. CRAIG MARTIN BLACK (DC) still an active registrant?
DR. CRAIG MARTIN BLACK (DC) carries an active NPI according to the public dataset.
What clinical focus is listed for DR. CRAIG MARTIN BLACK (DC)?
At a glance, DR. CRAIG MARTIN BLACK (DC) is tied to Chiropractor. Clinical services aligned with this taxonomy classification.
Where in Nevada is DR. CRAIG MARTIN BLACK (DC) registered?
Use Gardnerville, Nevada as the headline location for DR. CRAIG MARTIN BLACK (DC) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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