Blakeney Family Chiropractic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

3326 Issued in NC

Legal business name

BLAKENEY FAMILY CHIROPRACTIC

Practice address

10607 Rea Rd
Charlotte, NC 28277-6524

Phone

(704) 841-2504

Fax

(704) 841-2508

NPI assigned

Sep 26, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Eden Berhe Serekeberhan, D.C

Title

Owner

Phone

(704) 841-2504

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222387200000",
    "number": "1861642894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10607 REA RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282776524",
            "telephone_number": "704-841-2504",
            "fax_number": "704-841-2508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10607 REA RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282776524",
            "telephone_number": "704-841-2504",
            "fax_number": "704-841-2508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAKENEY FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-26",
        "last_updated": "2008-09-26",
        "status": "A",
        "authorized_official_last_name": "SEREKEBERHAN",
        "authorized_official_first_name": "EDEN",
        "authorized_official_middle_name": "BERHE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-841-2504",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NC",
            "license": "3326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vonetta Butler Blakely, LCSW
• Benjamin P Blakeman, AGACNP
• Blakeney Behavioral Health LLC
• Blakeney Counseling & Consulting Services LLC
• Blakeney Counseling & Wellness LLC.
• Blakeney Family Practice, PLLC
• Nikita Blakeney-Williams, FNP-C
• Ahmad Blakeney, LCAS-A
• Destiny Blakeney, RBT
• Jaleighsa A Blakeney

• Clinic/Center in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.