Thomas Leon Blake, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2074 Issued in NC

Practice address

104 North Greensboro Street
Liberty, NC 27298-3203

Phone

(336) 622-1600

NPI assigned

Dec 5, 2006

Last updated

Aug 24, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr Thomas Blake Inc

  • Chiropractor
  • Liberty, NC
  • NPI 1912188293
  NPD (past) Authorized official
• Dr. Thomas L Blake PA

  • Chiropractor
  • Liberty, NC
  • NPI 1336218221
  Authorized official Same address or phone

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187913600000",
    "number": "1013075746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3199 CARRIAGE CREEK CT",
            "city": "HAW RIVER",
            "state": "NC",
            "postal_code": "272589047",
            "telephone_number": "336-261-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 NORTH GREENSBORO STREET",
            "city": "LIBERTY",
            "state": "NC",
            "postal_code": "272983203",
            "telephone_number": "336-622-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "THOMAS",
        "middle_name": "LEON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Progress Consultants LLC
• Dabney Allen
• American Healthcare Systems, LLC
• Caroline E Baugess, NP
• Jonathan Breazeale, DMD
• Brittany Sundblom
• Ellen Kaye Brown
• Thomas Edgar Butler Jr., DDS
• Caregivers of Liberty I

• Chiropractor in Liberty, NC
• Providers in Liberty, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.

Verify at the official NPI Registry.