Damon Carl Blackley, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3879 Issued in NC

Practice address

108 Newbold St
Lincolnton, NC 28092-3906

Phone

(704) 735-8226

NPI assigned

Sep 29, 2008

Last updated

Jul 19, 2023By 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 NC

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lincoln Chiropractic, PC

  • Chiropractor
  • Lincolnton, NC
  • NPI 1629762646
  Medicare reassignment NPD Authorized official
• Beck Chiropractic Center, PA

  • Chiropractor
  • Lumberton, NC
  • NPI 1679778781
  NPD (past)
• Derrick W. Denman D.C. P.a.

  dba Lincoln Chiropractic

  • Chiropractor
  • Lincolnton, NC
  • NPI 1265526776
  NPD (past)

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1538319389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 SADDLEBRED DR",
            "city": "IRON STATION",
            "state": "NC",
            "postal_code": "280809374",
            "telephone_number": "910-827-1170",
            "fax_number": "910-735-8280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 NEWBOLD ST",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280923906",
            "telephone_number": "704-735-8226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKLEY",
        "first_name": "DAMON",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-29",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Forrest Bias Jr., MD
• Bio-Medical Applications of North Carolina, Inc. (Fresenius Medical Care Lincolnton)
• Rabin Bista, MD
• Earl Clifford Black III, RPH
• Summer Bentley Blackburn, COTA/L
• Kerry Burton Blackwell, PHARMD
• Jenny Bloom
• Boger City Rest Home
• Jimmy L Bramlett, CRNA
• James Scott Brenner, CRNA

• Chiropractor in Lincolnton, NC
• Providers in Lincolnton, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.