Dean Thomas Blazek, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3675-012 Issued in WI

Practice address

19395 W Capitol Dr Ste L05
Brookfield, WI 53045-2741

Phone

(262) 424-4882

NPI assigned

Jan 16, 2007

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

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

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.

• Back to Health, LLC

  • Chiropractor
  • Brookfield, WI
  • NPI 1275994659
  NPD
• Shropshire Chiropractic, Inc.

  • Chiropractor
  • Madison, WI
  • NPI 1245441161
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1720139413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W193 OOSTY AVE",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530665532",
            "telephone_number": "262-424-4882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19395 W CAPITOL DR STE L05",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530452741",
            "telephone_number": "262-424-4882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAZEK",
        "first_name": "DEAN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3675-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Allen Blake, DDS
• Sara Blandino, LMT
• Russell Blankenburg, MD
• Bryanne Lee Blanton, BCBA, LBA, MS
• Gregory Michael Blau, D.C.
• Madeline Bliske, PHD
• Blooming Buds Medicine
• Blooming Pathways Therapy LLC
• Tiana Blue
• Bluemound Health Services SC

• Chiropractor in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; 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.