Active NPI
Blackwood Chiropractic Clinic P a
- Chiropractor
- Manhattan, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- BLACKWOOD CHIROPRACTIC CLINIC P A
- Practice address
- 404 Humboldt St
Suite a
Manhattan, KS 66502-6072 - Phone
- (785) 776-7615
- NPI assigned
- Sep 25, 2006
- Last updated
- Feb 27, 2024
- Organization subpart
- Yes
- Parent organization
- BLACKWOOD CHIROPRACTIC CLINIC P A
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dean Jay Blackwood, D.C.
- Title
- Owner
- Phone
- (785) 776-7615
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
404 Humboldt St
Suite a
Manhattan, KS 66502-6072
Mailing address
404 Humboldt St
Suite a
Manhattan, KS 66502-6072
Phone (785) 776-7615
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050406000464 | KS | Part B Supplier - Clinic/Group Practice | 6103873625 |
Receives reassigned benefits from 2 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Concordia, KS |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Part of
- Blackwood Chiropractic Clinic P a
Locations
404 Humboldt St
Ste A
Manhattan, KS 66502
Phone (785) 776-7615
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Manhattan, KS
- NPI 1477651990
-
- Chiropractor
- Concordia, KS
- NPI 1215033741
-
- Chiropractor
- Concordia, KS
- NPI 1144324294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708992000000",
"number": "1730289190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 HUMBOLDT ST",
"address_2": "SUITE A",
"city": "MANHATTAN",
"state": "KS",
"postal_code": "665026072",
"telephone_number": "785-776-7615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 HUMBOLDT ST",
"address_2": "SUITE A",
"city": "MANHATTAN",
"state": "KS",
"postal_code": "665026072",
"telephone_number": "785-776-7615"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLACKWOOD CHIROPRACTIC CLINIC P A",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BLACKWOOD CHIROPRACTIC CLINIC P A",
"enumeration_date": "2006-09-25",
"last_updated": "2024-02-27",
"certification_date": "2024-02-27",
"status": "A",
"authorized_official_last_name": "BLACKWOOD",
"authorized_official_first_name": "DEAN",
"authorized_official_middle_name": "JAY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "785-776-7615",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manhattan, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.