Individual provider Active NPI

Warren Robert Blishen, D.C.

  • Rehabilitation Chiropractor
  • Oklahoma City, OK
National Provider Identifier
1508063116
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
3320 Issued in OK
Practice address
1001 W Memorial Rd
Ste 12
Oklahoma City, OK 73114-2000
Phone
(405) 752-5900
Fax
(405) 752-5906
NPI assigned
Jun 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 3320 OK Primary

Addresses

Primary practice location

1001 W Memorial Rd
Ste 12
Oklahoma City, OK 73114-2000

Mailing address

1001 W Memorial Rd
Ste 12
Oklahoma City, OK 73114-2000
Phone (405) 752-5900

Other identifiers 1

IdentifierTypeStateIssuer
200235109003OtherOKBCBS

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3320OKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Road Chiropractic Rehabilitation Past Accepting new patients
Full Circle Health Clinics Inc PastSince Mar 9, 2017 Accepting new patients

Organizations & group practices 2

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": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508063116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W MEMORIAL RD",
            "address_2": "STE 12",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731142000",
            "telephone_number": "405-752-5900",
            "fax_number": "405-752-5906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W MEMORIAL RD",
            "address_2": "STE 12",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731142000",
            "telephone_number": "405-752-5900",
            "fax_number": "405-752-5906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLISHEN",
        "first_name": "WARREN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "OK",
            "license": "3320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "200235109003",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.