Individual provider Active NPI

Robert Michael Block, D.C.

  • Rehabilitation Chiropractor
  • Ballston Spa, NY
National Provider Identifier
1447301049
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
X006175-1 Issued in NY
Practice address
76 Greenfield Ave
Ballston Spa, NY 12020-2423
Phone
(518) 885-5544
Fax
(518) 885-7283
NPI assigned
Jan 12, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X X006175-1 NY Primary

Addresses

Primary practice location

76 Greenfield Ave
Ballston Spa, NY 12020-2423

Mailing address

76 Greenfield Ave
Ballston Spa, NY 12020-2423
Phone (518) 885-5544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120301000077 NY Practitioner - Chiropractic 0941497804 Reassigns benefits to 1 organization
Practice locations: Ballston Spa, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Malta Chiropractic PCGroup PAC ID 7911269774, 2 clinicians

Practice addresses (Care Compare)

10 Blacksmith Dr
Suite 1
Ballston Spa, NY 12020-4428
Phone (518) 289-5229

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X006175-1NYMDRehabilitation Chiropractor
006175NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Malta Chiropractic PC Rehabilitation CurrentSince Dec 27, 2021 Accepting new patients
Ballston Chiropractic Office, PC Past Accepting new patients
Ballston Medical Supply, LLC PastSince May 13, 2010 Accepting new patients

Locations

10 Blacksmith Dr
Ste 1
Malta, NY 12020
Phone (207) 215-8952

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447301049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 GREENFIELD AVE",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120202423",
            "telephone_number": "518-885-5544",
            "fax_number": "518-885-7283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 GREENFIELD AVE",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120202423",
            "telephone_number": "518-885-5544",
            "fax_number": "518-885-7283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOCK",
        "first_name": "ROBERT",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NY",
            "license": "X006175-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ballston Spa, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.