Adam Black, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC-04980 Issued in OH

Practice address

3520 Snouffer Rd Ste 202
Columbus, OH 43235-2794

Phone

(567) 230-4156

NPI assigned

Aug 22, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1598054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1447862289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 S HAMILTON RD",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432303349",
            "telephone_number": "614-475-9355",
            "fax_number": "614-475-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 SNOUFFER RD STE 202",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432352794",
            "telephone_number": "567-230-4156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-22",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC-04980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kaitlyn M Blacha, DO
• James Stewart Blachly, M.D.
• Black Bronco Construction
• Black Olive Health Care Clinic
• Benjamin Andrew Black, EPHESIANS
• Candies Ja'Net Black, LPN
• Cynthia Black, QMHS, CMS
• Deidre Black
• Delquan Black

• Chiropractor in Columbus, OH
• Providers in Columbus, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.