Active NPI
Lee Joseph Blackwood, DC
- Nutrition Chiropractor
- Colorado Springs, CO
National Provider Identifier
1477759223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- 4920
- Practice address
- 11425 Black Forest Rd Ste 1
Colorado Springs, CO 80908-3952 - Phone
- (719) 533-1100
- Fax
- (719) 325-8988
- NPI assigned
- Jun 26, 2007
- Last updated
- May 13, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | 4920 | CO | Primary |
Addresses
Primary practice location
11425 Black Forest Rd Ste 1
Colorado Springs, CO 80908-3952
Mailing address
11145 Egerton Rd
Colorado Springs, CO 80908-4306
Phone (719) 533-1100
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | blackwoodhealthcenter.com | Other | |
| Other URL | blackwoodhealth@gmail.com |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4920 | CO | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589328000000",
"number": "1477759223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11145 EGERTON RD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809084306",
"telephone_number": "719-533-1100",
"fax_number": "719-359-8484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11425 BLACK FOREST RD STE 1",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809083952",
"telephone_number": "719-533-1100",
"fax_number": "719-325-8988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACKWOOD",
"first_name": "LEE",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-26",
"last_updated": "2020-05-13",
"certification_date": "2020-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "CO",
"license": "4920",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "blackwoodhealthcenter.com",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "messaging",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "11425 Black Forest Rd Ste 1",
"city": "Colorado Springs",
"state": "CO",
"country_code": "US",
"postal_code": "809083952",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "blackwoodhealth@gmail.com",
"affiliation": "N",
"address_1": "11425 Black Forest Rd Ste 1",
"city": "Colorado Springs",
"state": "CO",
"country_code": "US",
"postal_code": "809083952",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.