Dr Thomas Blake Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

DR THOMAS BLAKE INC

Practice address

122 N Fayetteville St
Liberty, NC 27298-3203

Phone

(336) 622-1600

Fax

(336) 622-1600

NPI assigned

Nov 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Blake, DCNPI 1013075746

Title

Chiropractor

Phone

(336) 622-1600

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas Leon Blake, D.C.

  • Chiropractor
  • Liberty, NC
  • NPI 1013075746
  NPD (past) Authorized official

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1912188293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1185",
            "city": "LIBERTY",
            "state": "NC",
            "postal_code": "272981185",
            "telephone_number": "336-622-1600",
            "fax_number": "336-622-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 N FAYETTEVILLE ST",
            "city": "LIBERTY",
            "state": "NC",
            "postal_code": "272983203",
            "telephone_number": "336-622-1600",
            "fax_number": "336-622-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR THOMAS BLAKE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "336-622-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890830H",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cozie'S Supervised Living Inc
• Cozie'S Supervised Living Inc.
• Ashley Brooke Crutchfield, FNP-C
• Curanex LLC
• Kaylee Renee Dillon
• Dr. Thomas L Blake PA
• Shea Dunham, LCPC, LMFT
• Frye Case MGT. & Consulting, LLC
• Frye Medical LLC
• Greg Moses DDS, PLLC

• All providers in Liberty, NC
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.