Richard Carl Blunk, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

39153 Issued in IA

Practice address

1351 W Central Park Ave
Suite 4100
Davenport, IA 52804-1853

Phone

(563) 383-2581

NPI assigned

Jul 1, 2006

Last updated

Apr 29, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Child Protection Response Center

  • Child Abuse Pediatrics Physician
  • Davenport, IA
  • NPI 1912281940
  NPD (past)

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430265600000",
    "number": "1649209933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 LINCOLN RD",
            "address_2": "SUITE L10",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527224190",
            "telephone_number": "563-355-9200",
            "fax_number": "563-355-3419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 W CENTRAL PARK AVE",
            "address_2": "SUITE 4100",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528041853",
            "telephone_number": "563-383-2581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUNK",
        "first_name": "RICHARD",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2015-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IA",
            "license": "39153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin W. Blechle, D.O.
• Nicholas Blieu, ARNP
• Lynne Annette Blind, D.C.
• Timothy Michael Block, ATC, PTA
• Kisha Kay Blunk, ARNP, FNP
• James L Boblit, RPH
• Michael Eugene Boblit, D.D.S.
• Kevin D Bobst, RPH
• Ryan Bobst, BASW
• Maddilyn Boche, LMSW

• Pediatrics Physician in Davenport, IA
• Providers in Davenport, IA by specialty
• Pediatrics Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; 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.