Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mr. Stacy Lee Black, DDS PA

General Practice Dentistry in Rusk, TX · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063423085

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Registry record

Entity type Individual (Type 1)

Name Mr. Stacy Lee Black

Credential DDS PA

Sex Male

Practice address 132 Hatchett St., Rusk, TX, 75785

Phone (903) 683-5751

Fax (903) 683-3455

Enumeration date Aug 11, 2006

Last updated in NPPES May 28, 2025

Taxonomy & licenses

1223G0001X General Practice Dentistry Dental Providers · License 17132 (TX) Primary

Other identifiers

Identifier	Type	State	Issuer
36871	Other	TX	DENT
009120901	Medicaid	TX	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is NPI 1063423085 active?

Yes, as of the latest NPPES snapshot, NPI 1063423085 is active (record last updated 2025-05-28).

How do I verify Stacy Black's NPI record?

Cross-check NPI 1063423085 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-05-28.