Albert Deloy Blanchard Jr., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

B01319 Issued in NV

Practice address

2870 S Maryland Pkwy
#100
Las Vegas, NV 89109-5031

Phone

(702) 309-4878

Fax

(702) 577-3334

NPI assigned

Mar 23, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1237766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425427200000",
    "number": "1942441845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2851 N TENAYA WAY",
            "address_2": "#103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280435",
            "telephone_number": "702-309-4878",
            "fax_number": "702-309-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2870 S MARYLAND PKWY",
            "address_2": "#100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891095031",
            "telephone_number": "702-309-4878",
            "fax_number": "702-577-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCHARD",
        "first_name": "ALBERT",
        "middle_name": "DELOY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-23",
        "last_updated": "2015-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B01319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "BZ300Z",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theddy Richard Blanc
• Angelica Blancaflor
• Lesyl Lemon Blancaver, PT, DPT
• Arrielle K Blanch
• Blanchard Inc
• Cord Blanchard
• Kimberly Ann Blanchard, APRN
• Lucius Blanchard, MD
• Michael Blanchard
• Sheri Lynn Blanchard, NP

• Chiropractor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Chiropractor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; 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.