Active NPI
Blake Tishman, D.C.
- Chiropractor
- Pompano Beach, FL
National Provider Identifier
1447550082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH 10137
- Practice address
- 750 E Sample Rd Ste 3-4
Pompano Beach, FL 33064-5138 - Phone
- (561) 576-7740
- NPI assigned
- Oct 29, 2010
- 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 | CH 10137 | FL | Primary |
Addresses
Primary practice location
750 E Sample Rd Ste 3-4
Pompano Beach, FL 33064-5138
Mailing address
8177 Glades Rd Ste 24
Boca Raton, FL 33434-4063
Phone (561) 487-7200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Sherman College of Straight Chiropractic, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6662 Parkside Dr
Parkland, FL 33067-1694
Phone (954) 340-7545
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645660800000",
"number": "1447550082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8177 GLADES RD STE 24",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334344063",
"telephone_number": "561-487-7200",
"fax_number": "561-487-7229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 E SAMPLE RD STE 3-4",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330645138",
"telephone_number": "561-576-7740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TISHMAN",
"first_name": "BLAKE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-10-29",
"last_updated": "2022-02-24",
"certification_date": "2022-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH 10137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pompano Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; 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.