Blanton Clinic

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BLANTON CLINIC

Practice address

101 E Broadway Ave
Ponca City, OK 74601-4302

Phone

(580) 765-2482

Fax

(580) 765-4852

NPI assigned

Dec 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Ray Blanton, D.C.

Title

Chiropractor/Owner

Phone

(580) 765-2482

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198022400000",
    "number": "1114101797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E BROADWAY AVE",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746014302",
            "telephone_number": "580-765-2482",
            "fax_number": "580-765-4852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E BROADWAY AVE",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746014302",
            "telephone_number": "580-765-2482",
            "fax_number": "580-765-4852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLANTON CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2007-12-19",
        "status": "A",
        "authorized_official_last_name": "BLANTON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "580-765-2482",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derra Bishop
• Cindy Blackwell
• Jacquelynn Blackwell
• Tamara Lynn Blackwell, MBA
• Kimberly Dawn Blagrave
• Timothy R Blanton, DC
• Jenny Lee Boddy
• Steven Wayne Bookout
• Lonna Bouton
• Jessica Bowen

• All providers in Ponca City, OK
• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.