Active NPI
Cheryl Chao Blankenship, D.C. L.AC.
- Chiropractor
- Norwich, CT
National Provider Identifier
1073646238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 001644
- Practice address
- 148 Sachem St
Norwich, CT 06360-4131 - Phone
- (860) 886-2882
- Fax
- (860) 886-6886
- NPI assigned
- Mar 14, 2007
- Last updated
- Dec 14, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 001644 | CT | Primary |
| Acupuncturist | 171100000X | 000494 | CT |
Addresses
Primary practice location
148 Sachem St
Norwich, CT 06360-4131
Mailing address
148 Sachem St
Norwich, CT 06360-4131
Phone (860) 886-2882
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050930000376 | CT | Practitioner - Chiropractic | 0749215499 | Practice locations: Norwich, CT |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
148 Sachem St
Norwich, CT 06360-4131
Phone (860) 886-2882
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001644 | CT | MD | Psychologist |
| 1644 | CT | MD | Social Worker |
| 000494 | CT | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Cheryl Blankenship LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260748800000",
"number": "1073646238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "148 SACHEM ST",
"city": "NORWICH",
"state": "CT",
"postal_code": "063604131",
"telephone_number": "860-886-2882",
"fax_number": "860-886-6886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "148 SACHEM ST",
"city": "NORWICH",
"state": "CT",
"postal_code": "063604131",
"telephone_number": "860-886-2882",
"fax_number": "860-886-6886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANKENSHIP",
"first_name": "CHERYL",
"middle_name": "CHAO",
"name_prefix": "Dr.",
"credential": "D.C. L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2009-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CT",
"license": "001644",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CT",
"license": "000494",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.