Organization Active NPI

Jabez-Blocher, Inc.

  • Foot Surgery Podiatrist
  • Gilbert, AZ
National Provider Identifier
1972783025
Registry record updated Apr 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
0359 Issued in AZ
Legal business name
JABEZ-BLOCHER, INC.
Practice address
7400 S Power Rd
#120
Gilbert, AZ 85297-9281
Phone
(480) 200-3016
NPI assigned
Nov 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2010

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

Authorized official

Name
Kenneth Sherman Blocher, DPMNPI 1992745327
Title
Ceo
Phone
(480) 200-3016

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X 0359 AZ Primary

Addresses

Primary practice location

7400 S Power Rd
#120
Gilbert, AZ 85297-9281

Mailing address

8490 S Power Rd
#105-244
Gilbert, AZ 85297-8028
Phone (480) 200-3016

Other identifiers 1

IdentifierTypeStateIssuer
315227MedicaidAZ

National Provider Directory

National Provider Directory

Locations

8490 S Power Rd
#105244
Gilbert, AZ 85297

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271289600000",
    "number": "1972783025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8490 S POWER RD",
            "address_2": "#105-244",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852978028",
            "telephone_number": "480-200-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 S POWER RD",
            "address_2": "#120",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852979281",
            "telephone_number": "480-200-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JABEZ-BLOCHER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2010-04-15",
        "status": "A",
        "authorized_official_last_name": "BLOCHER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "SHERMAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-200-3016",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "AZ",
            "license": "0359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "315227",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2010; 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.