Active NPI
Johnthan D Block, D.C.
- Neurology Chiropractor
- Wooster, OH
National Provider Identifier
1922032556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Chiropractor
- License
- 3561
- Practice address
- 3431 Commerce Pkwy Ste C
Wooster, OH 44691-7114 - Phone
- (330) 345-1330
- Fax
- (330) 264-0003
- NPI assigned
- Jul 10, 2006
- 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 |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | 3561 | OH | Primary |
Addresses
Primary practice location
3431 Commerce Pkwy Ste C
Wooster, OH 44691-7114
Mailing address
3431 Commerce Pkwy Ste C
Wooster, OH 44691-7114
Phone (330) 345-1330
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 251924207-00 | Other | OH | BWC |
| 000000377701 | Other | OH | ANTHEM |
| 2601643 | Medicaid | OH |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3561 | OH | MD | Neurology Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Physicial Medicine | Past | Accepting new patients |
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
- Wooster, OH
- NPI 1518061118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922032556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3431 COMMERCE PKWY STE C",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446917114",
"telephone_number": "330-345-1330",
"fax_number": "330-264-0003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3431 COMMERCE PKWY STE C",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446917114",
"telephone_number": "330-345-1330",
"fax_number": "330-264-0003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOCK",
"first_name": "JOHNTHAN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "OH",
"license": "3561",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BWC",
"identifier": "251924207-00",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000377701",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2601643",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wooster, OH
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.