Active NPI
Dan Isbell Blunk, M.D.
- Psychiatry Physician
- El Paso, TX
National Provider Identifier
1437178290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- E2472
- Practice address
- 4800 Alberta Ave
El Paso, TX 79905-2709 - Phone
- (915) 545-6831
- Fax
- (915) 545-6442
- NPI assigned
- Jul 19, 2006
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | E2472 | TX | Primary |
Addresses
Primary practice location
4800 Alberta Ave
El Paso, TX 79905-2709
Mailing address
PO Box 9520
El Paso, TX 79995-9520
Phone (915) 545-6831
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114570804 | Medicaid | TX |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355875200000",
"number": "1437178290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9520",
"city": "EL PASO",
"state": "TX",
"postal_code": "799959520",
"telephone_number": "915-545-6831",
"fax_number": "915-545-6442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 ALBERTA AVE",
"city": "EL PASO",
"state": "TX",
"postal_code": "799052709",
"telephone_number": "915-545-6831",
"fax_number": "915-545-6442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLUNK",
"first_name": "DAN",
"middle_name": "ISBELL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2012-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "E2472",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114570804",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.