Craig James Blalock, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1195 Issued in LA

Practice address

2055 Gause Blvd E
Suite 300
Slidell, LA 70461-5432

Phone

(985) 661-9600

Fax

(985) 661-9933

NPI assigned

Jan 24, 2006

Last updated

May 1, 2008By 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 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Pulliam Chiropractic Clinic, LLC

  • Chiropractor
  • Slidell, LA
  • NPI 1548393473
  NPD (past)

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1730159708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 GAUSE BLVD E",
            "address_2": "SUITE 300",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704615432",
            "telephone_number": "985-661-9600",
            "fax_number": "985-661-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 GAUSE BLVD E",
            "address_2": "SUITE 300",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704615432",
            "telephone_number": "985-661-9600",
            "fax_number": "985-661-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLALOCK",
        "first_name": "CRAIG",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7162744",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2513752",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN CHIROPRACTIC NETWORK",
            "identifier": "617110",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF LOUISIANA",
            "identifier": "G4449",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Saumitra Biswas, MD
• Jasmine Bivins
• Preston G Bivona, DDS
• Black Women DO Heal, Inc (BWDH)
• Blakk Diamond LLC
• Dalmer A Blanchard, LCSW
• Shelly A Blanchard, LCSW
• Shelley Smith Blanda, APRN, PMHNP-BC, RN
• Peter B Blessey, MD
• Shannon Smith Blestel, LCSW

• Chiropractor in Slidell, LA
• Providers in Slidell, LA by specialty
• Chiropractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.