Active NPI
Kalvin Block, MD
- Anesthesiology Physician
- Milford, CT
National Provider Identifier
1053309872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 25337
- Practice address
- 300 Seaside Ave
Milford, CT 06460-4603 - Phone
- (203) 876-1478
- NPI assigned
- Oct 6, 2005
- Last updated
- Sep 30, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 25337 | CT | Primary |
Addresses
Primary practice location
300 Seaside Ave
Milford, CT 06460-4603
Mailing address
831 Boston Post Rd
Suite 203
Milford, CT 06460-3536
Phone (203) 783-1831
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001253376 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25337 | CT | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380499200000",
"number": "1053309872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "831 BOSTON POST RD",
"address_2": "SUITE 203",
"city": "MILFORD",
"state": "CT",
"postal_code": "064603536",
"telephone_number": "203-783-1831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 SEASIDE AVE",
"city": "MILFORD",
"state": "CT",
"postal_code": "064604603",
"telephone_number": "203-876-1478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOCK",
"first_name": "KALVIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-06",
"last_updated": "2013-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CT",
"license": "25337",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001253376",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Milford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.