Jon Darin Blackwell, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC8667 Issued in TX

Practice address

5701 W Interstate 40
Amarillo, TX 79106-4619

Phone

(806) 358-3595

Fax

(806) 358-4647

NPI assigned

Oct 27, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Texas Multicare Clinic IncGroup PAC ID 2163470675, 4 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 and National Provider Directory roles.

• West Texas Multicare

  • Chiropractor
  • Amarillo, TX
  • NPI 1427145713
  Medicare reassignment Care Compare group NPD
• Acadian Ambulance Service of Texas LLC

  • Ambulance
  • Beaumont, TX
  • NPI 1750676870
  NPD (past)
• Sleepbroz PLLC

  • Dental Clinic/Center
  • New Braunfels, TX
  • NPI 1912712563
  NPD (past)
• Wes Stamps, DC., PA.

  • Chiropractor
  • New Braunfels, TX
  • NPI 1346469749
  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586390400000",
    "number": "1710063458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 I-40 WEST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791064619",
            "telephone_number": "806-358-3595",
            "fax_number": "806-358-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 W INTERSTATE 40",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791064619",
            "telephone_number": "806-358-3595",
            "fax_number": "806-358-4647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKWELL",
        "first_name": "JON",
        "middle_name": "DARIN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC8667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE LINK",
            "identifier": "0067237",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8J2131",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth Bryan Black, REGISTERED NURSE
• Lauren Black
• Shelly Black, COTA/CLT
• April Lynn Blackwell, RN
• Courtney B Blackwell, RN, MSN, AGNP AANP-C
• Jourdan Brianna Blair, DO
• Major Elliott Blair Jr., MD
• Shelah Blair, PTA
• Blake Smith, O.D., P.a.
• Christy Blake, NP

• Chiropractor in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; 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.