Organization Active NPI

Block Chiropractic and Rehabilitation Center, LLC

Doing business as Block Wellness, LLC

  • Chiropractor
  • Burtonsville, MD
National Provider Identifier
1508015793
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S02149 Issued in MD
Legal business name
BLOCK CHIROPRACTIC AND REHABILITATION CENTER, LLC
Doing business as
Block Wellness, LLC
Practice address
3901 National Dr Ste 250
Burtonsville, MD 20866-1187
Phone
(301) 476-7575
Fax
(301) 476-7730
NPI assigned
Sep 12, 2008
Last updated
Aug 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Authorized official

Name
Dr. Debra M Block, D.C.NPI 1750500864
Title
Sole Member
Phone
(301) 476-7575

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X S02149 MD Primary
Rehabilitation Chiropractor 111NR0400X S02149 MD

Addresses

Primary practice location

3901 National Dr Ste 250
Burtonsville, MD 20866-1187

Mailing address

3901 National Dr Ste 250
Burtonsville, MD 20866-1187
Phone (301) 476-7575

Other names 1

  • Block Wellness, LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080917000048 DC Part B Supplier - Clinic/Group Practice 3779650767 Receives reassigned benefits from 1 practitioner
Practice locations: Burtonsville, MD

National Provider Directory

National Provider Directory

Locations

3901 National Dr
Ste 250
Burtonsville, MD 20866
Phone (301) 476-7575

3905 National Dr
Ste 375
Burtonsville, MD 20866
Phone (301) 476-7575

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1221177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691107200000",
    "number": "1508015793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 NATIONAL DR STE 250",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208661187",
            "telephone_number": "301-476-7575",
            "fax_number": "301-476-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 NATIONAL DR STE 250",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208661187",
            "telephone_number": "301-476-7575",
            "fax_number": "301-476-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOCK CHIROPRACTIC AND REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-12",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A",
        "authorized_official_last_name": "BLOCK",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "301-476-7575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S02149",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MD",
            "license": "S02149",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Block Wellness, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burtonsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.