William Luke Blackburn, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH60272440 Issued in WA

Practice address

619 SW 152ND St
Burien, WA 98166-2212

Phone

(206) 242-0998

Fax

(206) 244-3962

NPI assigned

Apr 23, 2012

Last updated

Apr 23, 2012By the provider in NPPES

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

Enrolled in NE

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Millard Oaks ChiropracticGroup PAC ID 2961722707, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Millard Oaks Chiropractic

  • Chiropractor
  • Omaha, NE
  • NPI 1922491000
  Medicare reassignment Care Compare group Authorized official
• Collins Chiropractic, PC

  • Chiropractor
  • Burien, WA
  • NPI 1720205446
  NPD (past)

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335139200000",
    "number": "1467719880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 SW 152ND ST",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981662212",
            "telephone_number": "206-242-0998",
            "fax_number": "206-244-3962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 SW 152ND ST",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981662212",
            "telephone_number": "206-242-0998",
            "fax_number": "206-244-3962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKBURN",
        "first_name": "WILLIAM",
        "middle_name": "LUKE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-23",
        "last_updated": "2012-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60272440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan A Bick, MD
• Roberta Bilic
• Binyon Vision Center Inc (Binyon Vision Center)
• Douglas J. Birkebak, PA-C
• Kerry D Blackburn, LICSW
• Michael David Blackledge, DPT
• Michael Eugene Blatner, MD
• Angeline Blattenbauer, LMHC
• Jenna Noelle Blegen, REGISTERED DIETITIAN
• Lacey Deann Bleil, RN

• Chiropractor in Burien, WA
• Providers in Burien, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; 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.

Verify at the official NPI Registry.