Individual provider Active NPI

Blaine Michael Adair, D.C.

  • Chiropractor
  • Lawton, OK
National Provider Identifier
1891932471
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3915 Issued in OK
Practice address
5366 NW Cache Rd Ste a
Lawton, OK 73505-3335
Phone
(580) 713-5078
NPI assigned
Jan 19, 2009
Last updated
Jul 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3915 OK Primary

Addresses

Primary practice location

5366 NW Cache Rd Ste a
Lawton, OK 73505-3335

Mailing address

5366 NW Cache Rd Ste a
Lawton, OK 73505-3335
Phone (580) 713-5078

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090511000044 OK Practitioner - Chiropractic 9638227135 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5366 NW Cache Rd
Suite 4
Lawton, OK 73505-3353
Phone (580) 713-5078

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aaragon Chiropractic Inc Chiropractor CurrentSince Apr 28, 2009 Accepting new patients
Adair Chiropractic Chiropractor CurrentSince Mar 1, 2024 Accepting new patients

Locations

1201 W Gore Blvd
Ste A
Lawton, OK 73501
Phone (580) 353-6776

5366 NW Cache Rd
Ste 4
Lawton, OK 73505
Phone (580) 354-1200

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1232323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1891932471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5366 NW CACHE RD STE A",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735053335",
            "telephone_number": "580-713-5078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5366 NW CACHE RD STE A",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735053335",
            "telephone_number": "580-713-5078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAIR",
        "first_name": "BLAINE",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-19",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.