Kendra Doreen Block, DDS

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

042182 Issued in NY

Practice address

213 Hallock Rd
Suite 1
Stony Brook, NY 11790-3000

Phone

(631) 689-5411

NPI assigned

Mar 21, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539043200000",
    "number": "1619092194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SEWARD LN",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117903108",
            "telephone_number": "631-689-0415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 HALLOCK RD",
            "address_2": "SUITE 1",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117903000",
            "telephone_number": "631-689-5411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOCK",
        "first_name": "KENDRA",
        "middle_name": "DOREEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2018-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "042182",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "042182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Nicole Blackmore, NP
• Samantha Blaine, MD
• Samantha Marie Blanchard, DO
• Carissa Blasius, LCSW
• Andrew Bracco Blaszczyk
• Benjamin Neil Blond, MD
• Avraham Bluestone, MD,PHD
• Nicole Ann Bluethgen, FNP, RN
• Angelina Blyufer
• Nestor D Blyznak, MD

• Durable Medical Equipment & Medical Supplies in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.