Individual provider Active NPI

Blake Himel, DC

  • Chiropractor
  • Cumming, GA
National Provider Identifier
1699383935
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR010389 Issued in GA
Practice address
460 Brannon Rd Ste 101
Cumming, GA 30041-8977
Phone
(770) 573-2777
NPI assigned
Jul 22, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1903 LA
Chiropractor 111N00000X CHIR010389 GA Primary

Addresses

Primary practice location

460 Brannon Rd Ste 101
Cumming, GA 30041-8977

Mailing address

3421 Castleberry Village Cir
Cumming, GA 30040-2378
Phone (985) 414-3757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Family Chiropractic LLC Chiropractor CurrentSince Dec 10, 2024 Accepting new patients

Locations

37295 Market Place Dr
Prairieville, LA 70769
Phone (225) 744-4325

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1699383935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 CASTLEBERRY VILLAGE CIR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402378",
            "telephone_number": "985-414-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 BRANNON RD STE 101",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300418977",
            "telephone_number": "770-573-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIMEL",
        "first_name": "BLAKE",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1903",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.