Active NPI
Backed by Blackmon
- Health Service Clinic/Center
- Houston, TX
National Provider Identifier
1306580584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- BACKED BY BLACKMON
- Practice address
- 17047 El Camino Real Ste 140
Houston, TX 77058-2615 - Phone
- (713) 321-0506
- NPI assigned
- Apr 25, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Randi Blackmon, DC
- Title
- Owner
- Phone
- (713) 855-2929
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
17047 El Camino Real Ste 140
Houston, TX 77058-2615
Mailing address
17047 El Camino Real Ste 140
Houston, TX 77058-2615
Phone (713) 321-0506
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.backedbyblackmon.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
17047 El Camino Real
Ste 140
Houston, TX 77058
Phone (713) 321-0506
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Houston, TX
- NPI 1528701166
-
- Sports Physician Chiropractor
- Houston, TX
- NPI 1063370476
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650844800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780531200000",
"number": "1306580584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17047 EL CAMINO REAL STE 140",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770582615",
"telephone_number": "713-321-0506",
"fax_number": "713-383-6263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17047 EL CAMINO REAL STE 140",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770582615",
"telephone_number": "713-321-0506"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BACKED BY BLACKMON",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-25",
"last_updated": "2026-06-04",
"certification_date": "2026-06-04",
"status": "A",
"authorized_official_last_name": "BLACKMON",
"authorized_official_first_name": "RANDI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "713-855-2929",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.backedbyblackmon.com",
"affiliation": "N",
"address_1": "17047 El Camino Real Ste 140",
"city": "Houston",
"state": "TX",
"country_code": "US",
"postal_code": "770582615",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; 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.