Blackwell Family Chiropractic Inc PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3716 Issued in OK

Legal business name

BLACKWELL FAMILY CHIROPRACTIC INC PC

Practice address

1312 W Doolin Ave
Blackwell, OK 74631-1357

Phone

(580) 363-0084

Fax

(580) 363-0079

NPI assigned

Jul 31, 2014

Last updated

Aug 27, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lisa Ann Kahle, D. C.NPI 1912011180

Title

President, Chiropractor

Phone

(580) 363-0084

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 1

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.

• Lisa Ann Kahle, D.C.

  • Chiropractor
  • Blackwell, OK
  • NPI 1912011180
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409097600000",
    "number": "1881002087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 W DOOLIN AVE",
            "city": "BLACKWELL",
            "state": "OK",
            "postal_code": "746311357",
            "telephone_number": "580-363-0084",
            "fax_number": "580-363-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 W DOOLIN AVE",
            "city": "BLACKWELL",
            "state": "OK",
            "postal_code": "746311357",
            "telephone_number": "580-363-0084",
            "fax_number": "580-363-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKWELL FAMILY CHIROPRACTIC INC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-31",
        "last_updated": "2014-08-27",
        "status": "A",
        "authorized_official_last_name": "KAHLE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT, CHIROPRACTOR",
        "authorized_official_telephone_number": "580-363-0084",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Blackwell HMPN, LLC

• Chiropractor in Blackwell, OK
• Providers in Blackwell, OK by specialty
• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; 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.