Active NPI
Kyle Steven Bloch, D.C.
- Chiropractor
- Manassas, VA
National Provider Identifier
1861779746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104556936
- Practice address
- 8224 Spruce St Ste 330
Manassas, VA 20111-2201 - Phone
- (703) 368-8800
- Fax
- (703) 368-1281
- NPI assigned
- Nov 7, 2011
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104556936 | VA | Primary |
Addresses
Primary practice location
8224 Spruce St Ste 330
Manassas, VA 20111-2201
Mailing address
8224 Spruce St
Ste 330
Manassas, VA 20111-2201
Phone (703) 368-8800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151209002739 | VA | Practitioner - Chiropractic | 1557662939 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
8224 Spruce St
Suite 330
Manassas, VA 20111-2201
Phone (703) 368-8800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104556936 | VA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Chiropractic Clinic, PLLC | Chiropractor | Current | Accepting new patients |
Locations
8424 Dorsey Cir
Ste 102
Manassas, VA 20110
Phone (703) 368-1715
8224 Spruce St
Ste 330
Manassas, VA 20111
Phone (703) 368-8000
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Manassas, VA
- NPI 1982074670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1861779746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8224 SPRUCE ST",
"address_2": "STE 330",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201112201",
"telephone_number": "703-368-8800",
"fax_number": "703-368-1281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8224 SPRUCE ST STE 330",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201112201",
"telephone_number": "703-368-8800",
"fax_number": "703-368-1281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOCH",
"first_name": "KYLE",
"middle_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-11-07",
"last_updated": "2022-07-21",
"certification_date": "2022-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104556936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manassas, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.