Individual provider Active NPI

David B. Block, DMD

  • General Practice Dentistry
  • Narberth, PA
National Provider Identifier
1114135589
Registry record updated May 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS031140-L Issued in PA
Practice address
632 Montgomery Avenue
Suite 2
Narberth, PA 19072
Phone
(610) 664-6061
Fax
(610) 664-5293
NPI assigned
May 18, 2007
Last updated
May 21, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS031140-L PA Primary

Addresses

Primary practice location

632 Montgomery Avenue
Suite 2
Narberth, PA 19072

Mailing address

632 Montgomery Avenue
Suite 2
Narberth, PA 19072
Phone (610) 664-6061

Other identifiers 1

IdentifierTypeStateIssuer
124133OtherPAUNITED CONCORDIA PART

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150527000860 PA Order and Referring Only - DentistPractitioner - Dentist 8527388917

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS031140-LPAMDGeneral Practice Dentistry

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432166400000",
    "number": "1114135589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 MONTGOMERY AVENUE",
            "address_2": "SUITE 2",
            "city": "NARBERTH",
            "state": "PA",
            "postal_code": "19072",
            "telephone_number": "610-664-6061",
            "fax_number": "610-664-5293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 MONTGOMERY AVENUE",
            "address_2": "SUITE 2",
            "city": "NARBERTH",
            "state": "PA",
            "postal_code": "19072",
            "telephone_number": "610-664-6061",
            "fax_number": "610-664-5293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOCK",
        "first_name": "DAVID",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2015-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS031140-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PART",
            "identifier": "124133",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Narberth, PA

Sources for this page

Verify at the official NPI Registry.