MR. CONRAD E BLOCK DDS
NPI 1285738450
Dentist - General Practice in Santa Rosa, CA

Q: What is Conrad Block's NPI number?

The NPI number for Conrad Block is 1285738450. It was assigned to this individual provider in the NPPES registry on September 11, 2006.

Q: What is Conrad Block's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: Is Conrad Block enrolled in Medicare?

No. Conrad Block has opted out of Medicare through March 21, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Conrad Block was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 11, 2006Opted out of Medicare · through Mar 21, 2028

70 DOCTORS PARK DRIVE, SANTA ROSA, CA 95405(707) 545-1213(707) 528-3184 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mr. Conrad E Block Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CONRAD E BLOCK DDS (NPI 1285738450) is an individual general practice provider in Santa Rosa, California, licensed in California (41817) and active in the NPI registry since September 2006. He has opted out of Medicare through March 21, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1285738450

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameMR. CONRAD E BLOCKCredential: DDS

Location Address70 DOCTORS PARK DRIVESanta Rosa, CA 95405

Mailing Address70 Doctors Park DriveSanta Rosa, CA 95405 · (707) 545-1213 · Fax (707) 528-3184

Phone(707) 545-1213

Fax(707) 528-3184

Sole ProprietorNo

Enumeration DateSeptember 11, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1285738450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 41817

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

70 DOCTORS PARK DRIVE, Santa Rosa, CA 95405

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Conrad E Block Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 21, 2018 through March 21, 2028.

Opt-Out Effective DateMarch 21, 2018

Opt-Out In Effect ThroughMarch 21, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95405 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.16 typical visit price

range $63.04 – $187.01

Typical copayment $24.04 (range $15.76 – $46.75)

Most-billed visit code 99203

Established Patient

$77.94 typical visit price

range $21.02 – $153.40

Typical copayment $19.48 (range $5.25 – $38.35)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Conrad Block's NPI number?

The NPI number for Conrad Block is 1285738450. It was assigned to this individual provider in the NPPES registry on September 11, 2006.

Where is Conrad Block located?

Conrad Block practices at 70 Doctors Park Drive, Santa Rosa, CA 95405. The listed phone number is (707) 545-1213.

What is Conrad Block's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Conrad Block enrolled in Medicare?

No. Conrad Block has opted out of Medicare through March 21, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Conrad Block was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.