Beau J Blanchard, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3958 Issued in TN

Practice address

8950 US Highway 64 Ste 104
Lakeland, TN 38002-4566

Phone

(901) 388-0737

NPI assigned

May 9, 2025

Last updated

May 9, 2025By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Lakeland Chiropractic Clinic PLLC

  • Chiropractor
  • Lakeland, TN
  • NPI 1437306404
  NPD (past)

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

{
    "created_epoch": "1746748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1487444675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12318 DARGIE DR",
            "city": "ARLINGTON",
            "state": "TN",
            "postal_code": "380029895",
            "telephone_number": "360-536-2452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 US HIGHWAY 64 STE 104",
            "city": "LAKELAND",
            "state": "TN",
            "postal_code": "380024566",
            "telephone_number": "901-388-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCHARD",
        "first_name": "BEAU",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-09",
        "last_updated": "2025-05-09",
        "certification_date": "2025-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "3958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Grace Bailey, PTA
• Diosdado A Barawid Jr., PT
• Resa Saturday Barawid, P.T.
• Regina Nichols Barker, MS, OTR/L
• Robert Lee Blackwell III
• Brenda Blanton
• Clyde Eric Brown
• Richard Browning
• Aniko Vedette Campbell, FNP
• Lupo Tanjuakio Carlota Jr., M.D.

• Chiropractor in Lakeland, TN
• Providers in Lakeland, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; 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.