DR. RICHARD DANIEL BLAKE (NPI# 1972666774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972666774 |
| Entity Type | Individual |
| Full Name | DR. RICHARD DANIEL BLAKE |
| Credential | DC |
| Practice Address |
8 Glen Road Powerhouse Mall W Lebanon NH 03784 |
| Mailing Address |
Box 20 8 Glen Road Powerhouse Mall W Lebanon NH 03784 |
| Practice Telephone | 6032986500 |
| Practice Fax Number | 6032986525 |
| Mailing Telephone | 6032986500 |
| Mailing Fax Number | 6032986525 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 156A | NH | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174650071 | Richard Gary Blake | Technician/Technologist | 21835 Ventura Blvd, Woodland Hills, CA 91364-1838 | 2007-02-27 |
| 1740235829 | Richard W. Blake | Physician Assistant | 3600 E Wickersham Way, Wasilla, AK 99654 | 2006-05-24 |
| 1295358356 | Richard Andrew Blake | Pharmacist | 800 Glenwood Ave Se, Atlanta, GA 30316-1814 | 2020-05-24 |
| 1912921867 | Richard Wayne Blake | Dentist | 2701 Park Dr, Suite #1, Clearwater, FL 33763-1021 | 2006-07-26 |
| 1699702308 | Richard Alan Blake | Internal Medicine | 1401 Harrodsburg Rd, Suite A-300, Lexington, KY 40504-3751 | 2006-06-27 |
| 1770559924 | Richard Lawrence Blake | Podiatrist | 900 Hyde St, San Francisco, CA 94109-4806 | 2006-02-27 |
| Street Address |
8 GLEN ROAD POWERHOUSE MALL |
| City | W LEBANON |
| State | NH |
| Zip Code | 03784 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093313637 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 262 Planfield Road, West Lebanon, NH 03784 | 2020-10-15 |
| 1851776108 | Jessica Michelle Eid | Optometrist | 10 Benning St Ste 10, West Lebanon, NH 03784 | 2015-07-29 |
| 1629159629 | Linda M Wierwille | Marriage & Family Therapist | Child and Family Services 3 Abbott Avenue, West Lebanon Plaza, West Lebanon, NH 03784 | 2006-10-17 |
| 1154352284 | K Mart Corp | Pharmacy | Rte 12 A, West Lebanon, NH 03784 | 2006-07-06 |
| 1770057572 | Angelica Ema Walsh | Physician Assistant | 24 Airport Rd, West Lebanon, NH 03784 | 2019-01-15 |
| 1477077790 | Alexandra Culver | Pharmacist | 3 Airport Rd, West Lebanon, NH 03784 | 2017-07-28 |
| 1215204961 | Maine Professional Opticians | Hearing Instrument Specialist | 8 Glen Rd, 23 Power House Mall, West Lebanon, NH 03784 | 2011-11-23 |
| 1487734190 | Jennifer R Kravitz | Physical Therapist | 103 S Main St, Green Mountain Physical Therapy Lnc, W Lebanon, NH 03784 | 2006-10-17 |
| 1982252805 | Michelle Kathryn Grojean | Speech-Language Pathologist | 55 Sachem Cir, West Lebanon, NH 03784-1029 | 2019-09-04 |
| 1548621469 | Jason Laurita | Orthopaedic Surgery | 8 Sachem Cir, Unit 3, West Lebanon, NH 03784-1035 | 2016-03-20 |
| Find all providers in zip 03784 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093312423 | Pelham Family Chiropractic, LLC | Chiropractor | 71 Bridge St, Pelham, NH 03076-3479 | 2020-10-08 |
| 1255947636 | Optimum Health & Performance | Chiropractor | 116 S River Rd Unit F, Bedford, NH 03110-6734 | 2020-09-21 |
| 1265048524 | Kelly Wrathall | Chiropractor | 11 Saint James Pl Apt 1117, Nashua, NH 03062-2641 | 2020-09-21 |
| 1821623877 | Functional Health Clinic LLC | Chiropractor | 30 Exeter Pl, Laconia, NH 03246-2058 | 2020-03-10 |
| 1821637026 | Molly Anna Pepin | Chiropractor | 103 Hanover St Ste 14, Lebanon, NH 03766-1098 | 2020-01-06 |
| 1982252292 | Alisha Freydenfeldt | Chiropractor | 17 Chenell Dr Ste 2, Concord, NH 03301-8539 | 2019-08-29 |
| 1881242683 | Mikayla Storm Eldridge | Chiropractor | 17a Tatro Rd Ste 101, Goffstown, NH 03045-2370 | 2019-08-27 |
| 1467911305 | Lakeview Chiropractic and Wellness Pllc | Chiropractor | 290 Daniel Webster Hwy # 2a, Meredith, NH 03253-5806 | 2019-03-19 |
| 1154893832 | Hs1 LLC | Chiropractor | 545 Hooksett Rd Unit 20, Manchester, NH 03104-2654 | 2018-12-19 |
| 1700367653 | George Jumpp | Chiropractor | 43 Main St Apt 1, Dover, NH 03820-6801 | 2018-08-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.