Active NPI
Douglas D Blanchard, M.OM., L.AC.
- Acupuncturist
- Mankato, MN
National Provider Identifier
1083104640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 1864
- Practice address
- 816A S Front St
Mankato, MN 56001-2401 - Phone
- (507) 351-5739
- NPI assigned
- May 18, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 1864 | MN | Primary |
Addresses
Primary practice location
816A S Front St
Mankato, MN 56001-2401
Mailing address
1073 Alpine Way
Saint Peter, MN 56082-7518
Phone (651) 529-2174
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1864 | MN | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1083104640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1073 ALPINE WAY",
"city": "SAINT PETER",
"state": "MN",
"postal_code": "560827518",
"telephone_number": "651-529-2174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "816A S FRONT ST",
"city": "MANKATO",
"state": "MN",
"postal_code": "560012401",
"telephone_number": "507-351-5739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANCHARD",
"first_name": "DOUGLAS",
"middle_name": "D",
"credential": "M.OM., L.AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-05-18",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MN",
"license": "1864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mankato, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.