Blake W Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BLAKE W CHIROPRACTIC

Practice address

4130 Pioneer Woods Dr Ste 3
Lincoln, NE 68506-7552

Phone

(402) 261-6841

NPI assigned

Mar 10, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Blake Tyler Wills, DCNPI 1992466189

Title

Owner/Chiropractor

Phone

(308) 641-7120

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Blake Tyler Wills

  • Chiropractor
  • Scottsbluff, NE
  • NPI 1992466189
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1741564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1205635786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 PIONEER WOODS DR STE 3",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685067552",
            "telephone_number": "402-261-6841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 PIONEER WOODS DR STE 3",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685067552",
            "telephone_number": "402-261-6841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAKE W CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-09",
        "status": "A",
        "authorized_official_last_name": "WILLS",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_middle_name": "TYLER",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "308-641-7120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carl C Blackwood, CRNA
• David A. Blaha, D.D.S.
• Michael Alexander Blaha, MD
• Heidi Jo Blair
• Melissa Blair
• Angela Blake
• Rachel A Blake, MD
• Arabella Blakeley
• Cassandra Sue Blakely, PLMHP
• Alyssa Blakley

• All providers in Lincoln, NE
• Chiropractor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.