Gilbert Chad Blackwell, D.C., D.A.B.C.O., NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP136899 Issued in TX

Practice address

10622 Shiloh Rd
Dallas, TX 75228-2604

Phone

(972) 270-6405

Fax

(972) 613-1775

NPI assigned

Jul 11, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Chiropractic

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Imed Physician Network, Inc.Group PAC ID 6608103155, 45 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Casa View Chiropractic Clinic, Inc

  • Orthopedic Chiropractor
  • Dallas, TX
  • NPI 1679793293
  Medicare reassignment NPD Authorized official
• Imed Physician Network, Inc.

  • Interventional Pain Medicine Physician
  • Lancaster, TX
  • NPI 1063809465
  Medicare reassignment Care Compare group NPD
• Texas Pain Relief Group PLLC

  • Interventional Pain Medicine Physician
  • Hurst, TX
  • NPI 1003246299
  NPD
• Texas Pain Relief Group, PLLC

  • Interventional Pain Medicine Physician
  • Tampa, FL
  • NPI 1487028387
  NPD

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1750389003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10622 SHILOH RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752282604",
            "telephone_number": "972-270-6405",
            "fax_number": "972-613-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10622 SHILOH RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752282604",
            "telephone_number": "972-270-6405",
            "fax_number": "972-613-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKWELL",
        "first_name": "GILBERT",
        "middle_name": "CHAD",
        "credential": "D.C., D.A.B.C.O., NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC6524",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP136899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "AP136899",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00R26R",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Veshawn Blackshire, ATC
• Blackwell Chiropractic LLC
• Angelica Maria Blackwell
• Cassie Lyn Blackwell, FNP
• Christian Blackwell
• Isabela Blackwell
• John Blackwell
• Blaha Family Medical Clinic
• Ronald J Blaha, D.C., RMT, RN
• Ziad Blaik, MD

• Family Nurse Practitioner in Dallas, TX
• Providers in Dallas, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.