Active NPI
Ariel Blackburn, D.C.
- Chiropractor
- Ferndale, MI
National Provider Identifier
1114352549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301010115
- Practice address
- 641 W 9 Mile Rd Ste C
Ferndale, MI 48220-1779 - Phone
- (248) 298-3100
- NPI assigned
- Sep 4, 2013
- Last updated
- Oct 3, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301010115 | MI | Primary |
Addresses
Primary practice location
641 W 9 Mile Rd Ste C
Ferndale, MI 48220-1779
Mailing address
3069 Maybank Hwy
Johns Island, SC 29455-4873
Phone (843) 628-5353
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2301010115 | MI | MD | Chiropractor |
| 3907 | SC | MD | Audiologist-Hearing Aid Fitter |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570060800000",
"number": "1114352549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3069 MAYBANK HWY",
"city": "JOHNS ISLAND",
"state": "SC",
"postal_code": "294554873",
"telephone_number": "843-628-5353",
"fax_number": "843-557-1446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "641 W 9 MILE RD STE C",
"city": "FERNDALE",
"state": "MI",
"postal_code": "482201779",
"telephone_number": "248-298-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACKBURN",
"first_name": "ARIEL",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-04",
"last_updated": "2019-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301010115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ferndale, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.