Active NPI
David Blake
- Registered Respiratory Therapist
- Old Orchard Beach, ME
National Provider Identifier
1558019539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Respiratory Therapist
- License
- 1561
- Practice address
- 18 Smithwheel Rd Apt 69
Old Orchard Beach, ME 04064-1088 - Phone
- (207) 420-5408
- NPI assigned
- Mar 17, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Respiratory Therapist | 227900000X | 1561 | NH | Primary |
Addresses
Primary practice location
18 Smithwheel Rd Apt 69
Old Orchard Beach, ME 04064-1088
Mailing address
18 Smithwheel Rd Apt 69
Old Orchard Beach, ME 04064-1088
Phone (207) 420-5408
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1561 | NH | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647475200000",
"number": "1558019539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 SMITHWHEEL RD APT 69",
"city": "OLD ORCHARD BEACH",
"state": "ME",
"postal_code": "040641088",
"telephone_number": "207-420-5408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 SMITHWHEEL RD APT 69",
"city": "OLD ORCHARD BEACH",
"state": "ME",
"postal_code": "040641088",
"telephone_number": "207-420-5408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAKE",
"first_name": "DAVID",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-03-17",
"last_updated": "2022-03-17",
"certification_date": "2022-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "227900000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered",
"state": "NH",
"license": "1561",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Old Orchard Beach, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.