Kathleen Blake, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00463500 Issued in NJ

Practice address

60 Broadway
Denville, NJ 07834-2765

Phone

(862) 209-4888

Fax

(862) 209-4889

NPI assigned

Aug 15, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Healing Touch Chiropractic LLC

  • Chiropractor
  • Denville, NJ
  • NPI 1053618256
  NPD (past) Authorized official
• Chiropractic Health Clinic of Sparta, LLC

  • Chiropractor
  • Sparta, NJ
  • NPI 1407224389
  NPD
• Chatham Chiropractic Center

  • Chiropractor
  • Chatham, NJ
  • NPI 1003961244
  NPD (past)
• Chiropractic Center of Chatham LLC

  • Chiropractor
  • Chatham, NJ
  • NPI 1801039268
  NPD (past)
• Laser & Skin Therapeutics PC

  • Dermatology Physician
  • Chatham, NJ
  • NPI 1912191230
  NPD (past)

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298332800000",
    "number": "1316050438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 BROADWAY",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342765",
            "telephone_number": "862-209-4888",
            "fax_number": "862-209-4889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 BROADWAY",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342765",
            "telephone_number": "862-209-4888",
            "fax_number": "862-209-4889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2011-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00463500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dean Adam Berman, D.O.
• Beverly Dean Counseling LLC
• Beyond ABA Learning Group LLC
• Yuvraj Shwetalkumar Bhavsar, MBBS
• Christopher Birge, BCBA
• Bleeding Disorders Resource Network, LLC
• Kimberly Viona Blewett, MSW, LSW
• Blue Onyx Medical LLC
• Eric Blumenstyk
• Howard B. Bobrow, D.M.D., P.A.

• Chiropractor in Denville, NJ
• Providers in Denville, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.