Blanchards Chiropractic Clinic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

311 Issued in ND

Legal business name

BLANCHARDS CHIROPRACTIC CLINIC

Practice address

631 W 12TH Street
Grafton, ND 58237

Phone

(701) 352-1690

Fax

(701) 352-2258

NPI assigned

Aug 29, 2007

Last updated

Mar 31, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jerry Dean Blanchard, D.C.

Title

Owner

Phone

(701) 352-1690

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301529600000",
    "number": "1275727588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 185",
            "city": "GRAFTON",
            "state": "ND",
            "postal_code": "582370185",
            "telephone_number": "701-352-1690",
            "fax_number": "701-352-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 W 12TH STREET",
            "city": "GRAFTON",
            "state": "ND",
            "postal_code": "58237",
            "telephone_number": "701-352-1690",
            "fax_number": "701-352-2258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLANCHARDS CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2011-03-31",
        "status": "A",
        "authorized_official_last_name": "BLANCHARD",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-352-1690",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "311",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "565",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS NORTH DAKOTA",
            "identifier": "00574001",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD MINNESOTA",
            "identifier": "92466BL",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Associates & Inhabilitative Planning
• Emily A Balsdon, FNP-C
• Rebecca Renee Beyer, PA-C
• Michael J Bittles, MD
• Rick Alan Blair, BS
• Rondee Boe-Feltman I
• Jayne Brown
• Tricia Yvonne Buckalew, FNP-C
• Julie Callahan, SLP
• Michelle Kaye Carter, OD

• Chiropractor in Grafton, ND
• Providers in Grafton, ND by specialty
• Chiropractor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; 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.