Active NPI
Robert W. Blair, D.C.
- Chiropractor
- Middlefield, OH
National Provider Identifier
1356326847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 661
- Practice address
- 14949 Kinsman Rd
Middlefield, OH 44062-8277 - Phone
- (440) 834-0009
- Fax
- (440) 834-0017
- NPI assigned
- Dec 7, 2005
- Last updated
- Jul 13, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 661 | OH | Primary |
Addresses
Primary practice location
14949 Kinsman Rd
Middlefield, OH 44062-8277
Mailing address
PO Box 182
14949 Kinsman Rd.
Burton, OH 44021-0182
Phone (440) 834-0009
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0387228 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 661 | OH | MD | Chiropractor |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Burton, OH
- NPI 1255595088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310515200000",
"number": "1356326847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 182",
"address_2": "14949 KINSMAN RD.",
"city": "BURTON",
"state": "OH",
"postal_code": "440210182",
"telephone_number": "440-834-0009",
"fax_number": "440-834-0017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14949 KINSMAN RD",
"city": "MIDDLEFIELD",
"state": "OH",
"postal_code": "440628277",
"telephone_number": "440-834-0009",
"fax_number": "440-834-0017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAIR",
"first_name": "ROBERT",
"middle_name": "W.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-07",
"last_updated": "2011-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "661",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0387228",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Middlefield, OH
- Aspire Wellness, LLC
- Michael A Awad, PT, DPT
- Jessica Barber
- Beacon Orthopaedics & Sports Medicine, LTD (Prescision Orthopaedic Specialties, Inc DBA OrthoAlliance of Ohio)
- Bellini Internal Medicine, LLC (dba: Middlefield Primary Care)
- Anne Elizabeth Boyle, LPC
- Karyn Brady, RPH
- Mindy Brasdovich, OT
- Briar Hill Health Care Residence Inc
- Briar Hill Healthcare Res
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.