Blake Joseph Edmonson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC36359 Issued in CA

Practice address

1813 W Caldwell Ave Ste B
Visalia, CA 93277-8003

Phone

(559) 625-1100

Fax

(559) 625-1110

NPI assigned

Mar 9, 2022

Last updated

Jun 14, 2022By 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

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Horine Chiropractic CorporationGroup PAC ID 2567529266, 2 clinicians

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.

• Horine Chiropractic Corporation

  • Chiropractor
  • Visalia, CA
  • NPI 1285889055
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1689321549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 W CALDWELL AVE STE B",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932778003",
            "telephone_number": "559-625-1100",
            "fax_number": "559-625-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 W CALDWELL AVE STE B",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932778003",
            "telephone_number": "559-625-1100",
            "fax_number": "559-625-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMONSON",
        "first_name": "BLAKE",
        "middle_name": "JOSEPH",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC36359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Echeveste
• Danielle Rae Ecker, LMFT
• Cathy Lynn Eckert Juarez, FNP-BC
• Shawna Ann Ecklind
• Sheena Edmonds, DO
• Cady Lynn Edwards
• Heather Edwards, D.D.S.
• Phyllis Ann Edwards, MD
• Phyllis Kathleen Edwards, CAS II
• Shybra Lanise Edwards

• Chiropractor in Visalia, CA
• Providers in Visalia, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.