Todd A Black, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4451 Issued in KY

Practice address

546 Longfield Ave Ste 345
Louisville, KY 40215-2930

Phone

(502) 447-2222

Fax

(502) 409-8042

NPI assigned

Feb 21, 2007

Last updated

Mar 17, 2018By 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

Other identifiers 1

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.

• Wellness Chiropractic

  • Chiropractor
  • Louisville, KY
  • NPI 1760501696
  NPD (past)
• Tom Menendez Enterprises, Inc.

  • Chiropractor
  • Sellersburg, IN
  • NPI 1619001971
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1073658688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 LONGFIELD AVE",
            "address_2": "STE 345",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402152930",
            "telephone_number": "502-298-3715",
            "fax_number": "502-298-3715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 LONGFIELD AVE STE 345",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402152930",
            "telephone_number": "502-447-2222",
            "fax_number": "502-409-8042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3934 Dixie Hwy",
            "address_2": "Ste 345",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402164163",
            "country_code": "US",
            "telephone_number": "502-447-2222",
            "fax_number": "502-448-2215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACK",
        "first_name": "TODD",
        "middle_name": "A",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLNESS CHIROPRACTIC",
            "identifier": "1285957035",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen Black
• Kristi Black
• Lindsay Black
• Macey Noel Black, MS, BCBA, LBA
• Robert H Black, D.C.
• Whitney Black, APRN
• Amanda L Blackburn, LMFT, CADC
• Baily Blackburn, PT, DPT
• Erin Blackburn
• Ethan Wade Blackburn, MD

• Chiropractor in Louisville, KY
• Providers in Louisville, KY by specialty
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.