Active NPI
Nancy O Block, D.D.S.
- General Practice Dentistry
- Chicago, IL
National Provider Identifier
1700962750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Practice address
- 100 East Walton Office Center
Suite 400 East
Chicago, IL 60611 - Phone
- (312) 649-1666
- Fax
- (312) 649-2419
- NPI assigned
- Oct 31, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | IL | Primary |
Addresses
Primary practice location
100 East Walton Office Center
Suite 400 East
Chicago, IL 60611
Mailing address
100 East Walton Office Center
Suite 400 East
Chicago, IL 60611
Phone (312) 649-1666
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 |
|---|---|---|---|
| 019.020115 | IL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700962750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 EAST WALTON OFFICE CENTER",
"address_2": "SUITE 400 EAST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60611",
"telephone_number": "312-649-1666",
"fax_number": "312-649-2419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 EAST WALTON OFFICE CENTER",
"address_2": "SUITE 400 EAST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60611",
"telephone_number": "312-649-1666",
"fax_number": "312-649-2419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOCK",
"first_name": "NANCY",
"middle_name": "O",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.