NPIMap

Organization Active NPI

Blackburn Chiropractic PLLC

  • Chiropractor
  • Austin, TX
National Provider Identifier
1942446067
Registry record updated Jan 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10841 Issued in TX
Legal business name
BLACKBURN CHIROPRACTIC PLLC
Practice address
4107 Medical Pkwy Ste 100
Austin, TX 78756-3736
Phone
(512) 810-0667
Fax
(512) 420-9390
NPI assigned
Dec 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2018

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

Authorized official

Name
Dr. Abigail Hollis Blackburn, DC
Title
Sole Proprietor, Owner
Phone
(512) 420-9300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 10841 TX Primary

Addresses

Primary practice location

4107 Medical Pkwy Ste 100
Austin, TX 78756-3736

Mailing address

4107 Medical Pkwy Ste 100
Austin, TX 78756-3736
Phone (512) 810-0667

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515369600000",
    "number": "1942446067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4107 MEDICAL PKWY STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563736",
            "telephone_number": "512-810-0667",
            "fax_number": "512-420-9390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4107 MEDICAL PKWY STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563736",
            "telephone_number": "512-810-0667",
            "fax_number": "512-420-9390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKBURN CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-18",
        "last_updated": "2018-01-08",
        "status": "A",
        "authorized_official_last_name": "BLACKBURN",
        "authorized_official_first_name": "ABIGAIL",
        "authorized_official_middle_name": "HOLLIS",
        "authorized_official_title_or_position": "SOLE PROPRIETOR, OWNER",
        "authorized_official_telephone_number": "512-420-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; 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.