Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Derek Robert Black, DC

Individual provider Acupuncturist · NPI 1881781490

Dr. Derek Robert Black, DC is a Chiropractic in Beavercreek, Ohio. Graduated from Los Angeles College of Chiropractic in 1994, 32 years ago. Practices with Advanced Medical and Wellness Center, Inc, a 5-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
32
Trained at
Los Angeles College of Chiropractic
Licensed in
OH
In the registry since
2006
Specialties on file
2
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

3060 Dayton Xenia Rd Ste A
Beavercreek, OH 45434-6308
Phone: (937) 427-2225
Fax: (937) 431-1722
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 2227 (OH)
Acupuncturist Taxonomy 171100000X

Record details

NPI number1881781490
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedOctober 6, 2006
Last updated in NPPESOctober 24, 2022
Certification dateOctober 24, 2022
Mailing address3060 Dayton Xenia Rd, Suite A, Beavercreek, OH 45434-6308

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolLOS ANGELES COLLEGE OF CHIROPRACTIC
Graduated 1994 (32 years in practice)
Group practice Advanced Medical And Wellness Center, Inc. — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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