Timothy R Blanton, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3102 Issued in OK

Practice address

101 E Broadway Ave
Ponca City, OK 74601-4302

Phone

(580) 765-2482

Fax

(580) 765-4852

NPI assigned

Nov 1, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Blanton Clinic

  • Chiropractor
  • Ponca City, OK
  • NPI 1114101797
  Authorized official Same address or phone
• Malcolm Derek Smith, DPM PC

  • Podiatrist
  • Ponca City, OK
  • NPI 1285803049
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821175076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E BROADWAY AVE",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746014302",
            "telephone_number": "580-765-2482",
            "fax_number": "580-765-4852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E BROADWAY AVE",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746014302",
            "telephone_number": "580-765-2482",
            "fax_number": "580-765-4852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANTON",
        "first_name": "TIMOTHY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00288810",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cindy Blackwell
• Jacquelynn Blackwell
• Tamara Lynn Blackwell, MBA
• Kimberly Dawn Blagrave
• Blanton Clinic
• Jenny Lee Boddy
• Steven Wayne Bookout
• Lonna Bouton
• Jessica Bowen
• Tina Marie Bower, R,N

• Chiropractor in Ponca City, OK
• Providers in Ponca City, OK by specialty
• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.