Blankenship Chiropractic Clinic, PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

717 Issued in NC

Legal business name

BLANKENSHIP CHIROPRACTIC CLINIC, PA

Practice address

1953 Wilkesboro Hwy
Statesville, NC 28625-8737

Phone

(704) 873-7068

Fax

(704) 871-9974

NPI assigned

Jul 1, 2006

Last updated

Dec 6, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Radford Harold Blankenship, D.C.NPI 1992753529

Title

Owner

Phone

(704) 873-7068

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Radford H Blankenship, D.C.

  • Chiropractor
  • Statesville, NC
  • NPI 1992753529
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291593600000",
    "number": "1669401956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1953 WILKESBORO HWY",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286258737",
            "telephone_number": "704-873-7068",
            "fax_number": "704-871-9974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1953 WILKESBORO HWY",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286258737",
            "telephone_number": "704-873-7068",
            "fax_number": "704-871-9974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLANKENSHIP CHIROPRACTIC CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2010-12-06",
        "status": "A",
        "authorized_official_last_name": "BLANKENSHIP",
        "authorized_official_first_name": "RADFORD",
        "authorized_official_middle_name": "HAROLD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-873-7068",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89013AO",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rhoda Jane Black, RN
• Sarah Katherine Black, AUD
• William J Blackley, M.D.
• Jill Blackwelder, LPCS, CCS, LCAS, NCC
• Pedro Ariel Blanco, DPT
• Radford H Blankenship, D.C.
• Nicole-Marie Blischak
• Stacey C Bohm, AGACNP-BC
• Christina Shelby Boland, LCSW
• Julia Duncan Bolick

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.