Thomas E Blankenbaker, D.C.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

3164 Issued in AZ

Practice address

1727 E Bell Rd
Phoenix, AZ 85022-2800

Phone

(602) 867-7246

Fax

(602) 494-7246

NPI assigned

Feb 7, 2007

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

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 and National Provider Directory roles.

• Koepke Clinic for Chiropractic PC

  • Chiropractor
  • Phoenix, AZ
  • NPI 1356514913
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609916808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1727 E BELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850222800",
            "telephone_number": "602-867-7246",
            "fax_number": "602-494-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1727 E BELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850222800",
            "telephone_number": "602-867-7246",
            "fax_number": "602-494-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANKENBAKER",
        "first_name": "THOMAS",
        "middle_name": "E",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "AZ",
            "license": "3164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valeria Noemi Blanco
• Valerie Blanco
• Madelyn Blandford, MS, RD
• Molly Blaney
• Jacob Robert Blank, DO
• Rebecca S Blankenship
• Tauree Rose Blankenship, P.T.
• Bridget Natalie Blansfield, FNP-C
• Samantha Blanton, RD
• Louis Richard Blas, MD.

• Rehabilitation Chiropractor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Rehabilitation Chiropractor in Arizona

• 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.