Individual provider Active NPI

Richard Steven Block, D.C.

  • Chiropractor
  • Smithtown, NY
National Provider Identifier
1467416446
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X008466-1 Issued in NY
Practice address
301 Maple Ave
Smithtown, NY 11787-4900
Phone
(631) 543-0004
Fax
(631) 864-5428
NPI assigned
Apr 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X008466-1 NY Primary

Addresses

Primary practice location

301 Maple Ave
Smithtown, NY 11787-4900

Mailing address

301 Maple Ave
Smithtown, NY 11787-4900
Phone (631) 543-0004

Other identifiers 3

IdentifierTypeStateIssuer
X08466-7BOtherNYWORKERS COMP
P3088865OtherNYOXFORD
925763OtherNYACN GROUP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080802000015 NY Practitioner - Chiropractic 2860566486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Li Chiropractic and Physical Therapy PLLCGroup PAC ID 8921336942, 4 clinicians

Practice addresses (Care Compare)

301 Maple Ave
Smithtown, NY 11787-4900
Phone 6315430004103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X008466-1NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Li Chiropractic and Physical Therapy PLLC Chiropractor CurrentSince Jun 9, 2019 Accepting new patients

Locations

4200 Sunrise Hwy
Massapequa, NY 11758
Phone (516) 541-1064

260 Middle Country Rd
Ste 7
Selden, NY 11784
Phone (631) 696-4371

301 Maple Ave
Smithtown, NY 11787
Phone (631) 543-0004

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1467416446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MAPLE AVE",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117874900",
            "telephone_number": "631-543-0004",
            "fax_number": "631-864-5428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MAPLE AVE",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117874900",
            "telephone_number": "631-543-0004",
            "fax_number": "631-864-5428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOCK",
        "first_name": "RICHARD",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008466-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP",
            "identifier": "X08466-7B",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3088865",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN GROUP",
            "identifier": "925763",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.