Active NPI
Adam Youngblood, DC
- Chiropractor
- Blanco, TX
National Provider Identifier
1902545908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 14895
- Practice address
- 1800 Tejas TRL
Blanco, TX 78606-5193 - Phone
- (830) 383-0213
- NPI assigned
- May 31, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 14895 | TX | Primary |
Addresses
Primary practice location
1800 Tejas TRL
Blanco, TX 78606-5193
Mailing address
1450 Tejas TRL
Blanco, TX 78606-2028
Phone (830) 383-0213
Other practice location 1
26229 N Cranes Mill Rd
Canyon Lake, TX 78133-1957
Phone (830) 521-3169
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653955200000",
"number": "1902545908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 TEJAS TRL",
"city": "BLANCO",
"state": "TX",
"postal_code": "786062028",
"telephone_number": "830-383-0213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 TEJAS TRL",
"city": "BLANCO",
"state": "TX",
"postal_code": "786065193",
"telephone_number": "830-383-0213"
}
],
"practiceLocations": [
{
"address_1": "26229 N Cranes Mill Rd",
"address_purpose": "LOCATION",
"city": "Canyon Lake",
"state": "TX",
"postal_code": "781331957",
"country_code": "US",
"telephone_number": "830-521-3169",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YOUNGBLOOD",
"first_name": "ADAM",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-05-31",
"last_updated": "2022-05-31",
"certification_date": "2022-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "14895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blanco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.