Active NPI
Terrance Alan Blackwood, D.C.
- Chiropractor
- Concordia, KS
National Provider Identifier
1144324294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 01-03752
- Practice address
- 511 Cedar Street
Concordia, KS 66901-2111 - Phone
- (785) 243-4049
- Fax
- (785) 243-4735
- NPI assigned
- Sep 11, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
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.
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1985
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Blackwood Chiropractic Clinic P a
Practice addresses (Care Compare)
511 Cedar St
Concordia, KS 66901-2111
Phone (785) 243-4049
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050428000962 | KS | Practitioner - Chiropractic | 2062451057 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01-03752 | KS | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blackwood Chiropractic Clinic P a | Chiropractor | Current | Accepting new patients |
| Blackwood Chiropractic Clinic P a | Chiropractor | Current | Accepting new patients |
Locations
511 Cedar St
Concordia, KS 66901
Phone (785) 243-4049
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 01-03752 | KS | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
511 Cedar Street
Concordia, KS 66901-2111
Mailing address
P.O. Box 484
Concordia, KS 66901-0484
Phone (785) 243-4049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.
{
"created_epoch": "1157932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144324294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 484",
"city": "CONCORDIA",
"state": "KS",
"postal_code": "669010484",
"telephone_number": "785-243-4049",
"fax_number": "785-243-4735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 CEDAR STREET",
"city": "CONCORDIA",
"state": "KS",
"postal_code": "669012111",
"telephone_number": "785-243-4049",
"fax_number": "785-243-4735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACKWOOD",
"first_name": "TERRANCE",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KS",
"license": "01-03752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Concordia, KS
- Jeffrey Robert Bender, PHARMD
- Bio-Medical Applications of Kansas, Inc.
- Megan M Blackley, LMLP
- Blackwood Chiropractic Clinic P a
- Bradley Jason Blackwood, D.C
- Carly Suzanne Bloomfield, LMSW
- Anthony L Bombardier, PHARM. D.
- Bryan Christopher Bombardier, PHARM.D.
- Jason Branfort, RPH
- Dorothy Breault, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.