The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Niceville and Florida

10 active clinicians are listed under Chiropractor with a practice address in Niceville, FL (6,969 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-11-23

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

License # reported to NPPES FL CH12981

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Chiropractor

NUCC Taxonomy Code: 111N00000X

License # reported to NPPES CA 33644

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.

Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

16 Historical Events

📍

Updated Business Mailing Address November 23, 2020

Registered at 902B PALM BLVD S, NICEVILLE, FL 325782603 (Tel: 8503070035)

📍

Updated Practice Location July 08, 2020

Registered at 902B PALM BLVD S, NICEVILLE, FL 325782603 (Tel: 7149129523)

📍

Updated Business Mailing Address July 08, 2020

Registered at 292 MONTANA AVE, VALPARAISO, FL 325801523 (Tel: 8502179505)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2020

Chiropractor (license number reported to NPPES: FL CH12981)

✅

NPI Profile Active September 12, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address September 12, 2017

Registered at 2211 E LINCOLN AVE, ANAHEIM, CA 92806 (Tel: 7149129523)

📍

Updated Practice Location September 12, 2017

Registered at 2211 E LINCOLN AVE, ANAHEIM, CA 928064108 (Tel: 7149129523)

👤

Provider Name / Credentials Updated September 12, 2017

Recorded as GEORGE BLACKMAN, D.C.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2017

Chiropractor (license number reported to NPPES: CA 33644)

📍

Updated Practice Location August 23, 2017

Registered at 2211 E LINCOLN AVE, ANAHEIM, CA 928064108 (Tel: 7149129523)

✅

NPI Profile Active July 13, 2016

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) July 13, 2016

Registered at 1421 N WANDA RD STE 160, ORANGE, CA 928675300 (Tel: 7149129523)

📍

Business Mailing Address (Initial Record) July 13, 2016

Registered at 1421 N WANDA RD STE 160, ORANGE, CA 928675300 (Tel: 7149129523)

👤

Provider Name / Credentials (Initial Record) July 13, 2016

Recorded as GEORGE BLACKMAN, D.C.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2016

Chiropractor (license number reported to NPPES: CA 33644)

🟢

Initial NPI Registration & Enumeration July 13, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1346693439

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 13, 2016

Last Update: November 23, 2020

Sole Proprietor: No

Update or Correct Profile

Other Chiropractors in Niceville

Healthcare providers in Niceville

Mailing Address

902b Palm Blvd S

Niceville, FL 325782603

Phone: 8503070035

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.