Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Timothy Roger Black, DPM

Podiatrist in Idaho Falls, ID · enumerated 2007.

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

National Provider Identifier

1578753091

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Registry record

Entity type Individual (Type 1)

Name Dr. Timothy Roger Black

Credential DPM

Sex Male

Practice address 3652 Washington Pkwy, Idaho Falls, ID, 83404

Phone (208) 528-8700

Fax (208) 528-2802

Enumeration date Jul 31, 2007

Last updated in NPPES Oct 31, 2017

Taxonomy & licenses

213E00000X Podiatrist Podiatric Medicine & Surgery Service Providers · License P-169 (ID) Primary

DPM · Doctor of Podiatric Medicine: A physician specializing in medical and surgical care of the foot and ankle. About the DPM credential

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 1578753091 active?

Yes, as of the latest NPPES snapshot, NPI 1578753091 is active (record last updated 2017-10-31).

How do I verify Timothy Black's NPI record?

Cross-check NPI 1578753091 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-10-31.