Carl F Blackford PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

060004970038004794 Issued in IL

Legal business name

CARL F BLACKFORD PC

Practice address

1845 W Golf Rd
Schaumburg, IL 60194-1148

Phone

(847) 885-8808

Fax

(847) 885-9006

NPI assigned

Apr 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Carl F Blackford, DCNPI 1841286432

Title

Owner

Phone

(847) 885-8808

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Churchill Chiropractic Center Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

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

• Carl F Blackford, D.C.

  • Chiropractor
  • Schaumburg, IL
  • NPI 1841286432
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198713600000",
    "number": "1073634655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 W GOLF RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601941148",
            "telephone_number": "847-885-8808",
            "fax_number": "847-885-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 W GOLF RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601941148",
            "telephone_number": "847-885-8808",
            "fax_number": "847-885-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARL F BLACKFORD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-12-27",
        "status": "A",
        "authorized_official_last_name": "BLACKFORD",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-885-8808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "060004970038004794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF IL",
            "identifier": "1682571",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Churchill Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carelink Home Health, LLC
• Carepoint Healthcare LLC
• Carepoint Healthcare LLC
• Carey B Dachman MDSC
• Caring Doctor at Home LTD
• Christopher A Carlson, PT
• Gregory C Carlson, D.D.S.
• Andrew P Carlton
• Lindsey Carpenter, DPT
• Matthew Carrillo

• Chiropractor in Schaumburg, IL
• Providers in Schaumburg, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.