Individual provider Active NPI

Blake J. Wayson, D.C.

  • Chiropractor
  • Cedar Falls, IA
National Provider Identifier
1952369035
Registry record updated Mar 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06835 Issued in IA
Practice address
4619 Chadwick Rd
Cedar Falls, IA 50613-8060
Phone
(319) 266-1119
Fax
(319) 266-5275
NPI assigned
May 1, 2006
Last updated
Mar 17, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 06835 IA Primary

Addresses

Primary practice location

4619 Chadwick Rd
Cedar Falls, IA 50613-8060

Mailing address

4619 Chadwick Rd
Cedar Falls, IA 50613-8060
Phone (319) 266-1119

Other identifiers 2

IdentifierTypeStateIssuer
07291OtherIAWELLMARK BCBS OF IOWA
0480830MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060407000526 IA Practitioner - Chiropractic 9638188378 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wayson Family Chiropractic PCGroup PAC ID 4284643925, 6 clinicians

Practice addresses (Care Compare)

4619 Chadwick Rd
Cedar Falls, IA 50613-8060
Phone (319) 266-1119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wayson Family Chiropractic PC Chiropractor CurrentSince Feb 1, 2006 Accepting new patients
GCC, LLC Chiropractor PastSince Jun 27, 2019 Accepting new patients

Locations

4619 Chadwick Rd
Cedar Falls, IA 50613
Phone (319) 266-1119

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": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489708800000",
    "number": "1952369035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4619 CHADWICK RD",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506138060",
            "telephone_number": "319-266-1119",
            "fax_number": "319-266-5275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4619 CHADWICK RD",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506138060",
            "telephone_number": "319-266-1119",
            "fax_number": "319-266-5275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAYSON",
        "first_name": "BLAKE",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2017-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS OF IOWA",
            "identifier": "07291",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0480830",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Falls, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; 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.