George Thomas Blevins, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00034351 Issued in WA

Practice address

422 N 1St St
Shelton, WA 98584-3410

Phone

(360) 426-6325

Fax

(360) 426-8300

NPI assigned

Dec 22, 2006

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advanced Chiropractic Rehabilitation Inc

  • Chiropractor
  • Shelton, WA
  • NPI 1518295831
  NPD (past) Authorized official
• Damon J Ernst

  • Chiropractor
  • Shelton, WA
  • NPI 1841341120
  NPD (past)
• Key Health, Inc

  • Chiropractor
  • Federal Way, WA
  • NPI 1558604942
  NPD (past)
• Shelton Chiropractic and Wellness LLC

  • Chiropractor
  • Shelton, WA
  • NPI 1497438857
  NPD (past)
• Twin Lakes Chiropractic, Inc. P.S.

  • Chiropractor
  • Federal Way, WA
  • NPI 1588729826
  NPD (past)

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368662400000",
    "number": "1124183850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1975",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985845030",
            "telephone_number": "360-426-6325",
            "fax_number": "360-426-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 N 1ST ST",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985843410",
            "telephone_number": "360-426-6325",
            "fax_number": "360-426-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEVINS",
        "first_name": "GEORGE",
        "middle_name": "THOMAS",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2013-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I NUMBER",
            "identifier": "187046",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "20-4226795",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paula Bigley, LMP
• Phillip Andrew Bilderback, M.D.
• Tonya Marie Black, MA, LMFT, LMHC, CMHS
• Scott Walter Blake, SUDPT
• Donna Mae Blanton, LMP
• Danielle Blood, MD
• Meira Bloom
• Xavier Blue
• George Blush
• Mary A Bolender, CO61603715SUDPT

• Chiropractor in Shelton, WA
• Providers in Shelton, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; 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.