Todd Wellington Blan, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

10901 Issued in TX

Practice address

1202 E Sonterra Blvd
Ste. 301
San Antonio, TX 78258-4089

Phone

(210) 862-6882

NPI assigned

Mar 13, 2007

Last updated

Dec 3, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354492800000",
    "number": "1669505194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 GUNTHER BLF",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782581609",
            "telephone_number": "210-862-6882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 E SONTERRA BLVD",
            "address_2": "STE. 301",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584089",
            "telephone_number": "210-862-6882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAN",
        "first_name": "TODD",
        "middle_name": "WELLINGTON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2012-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "10901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brett Blakeway, MD
• Penelope M Blalack, MD
• Christine Dana Blalock
• Wayne James Blalock, CRNA
• Garret Blamey, IOM
• Beth Blanc
• Ana L. Blancarte, PH.D.
• Michael G. Blanchett, M.D.
• Adam R Blanchette, M.D.
• Zalmen Blanck, MD

• Chiropractor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; 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.