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DR. BLAKE ROBERT PENNOCK II DC
NPI 1053877159
Chiropractor in Flagstaff, AZ

Active since February 13, 2019
1501 S YALE ST STE 250, FLAGSTAFF, AZ 86001(928) 557-0707 Get Directions Write a Review

NPPES record last updated: February 22, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 22, 2019, Feb 13, 2019 (2 updates tracked since 2019).

About Dr. Blake Robert Pennock Ii Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BLAKE ROBERT PENNOCK II DC (NPI 1053877159) is an individual chiropractor in Flagstaff, Arizona, licensed in Arizona (8787) and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1053877159
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. BLAKE ROBERT PENNOCK IICredential: DC
Location Address1501 S YALE ST STE 250Flagstaff, AZ 86001-7336
Mailing Address505 W Baseline Rd Apt 2142Tempe, AZ 85283-5319 · (563) 249-7446
Phone(928) 557-0707
Sole ProprietorYes
Enumeration DateFebruary 13, 2019
Last NPPES UpdateFebruary 22, 20192 updates tracked since enumeration
✔ NPI 1053877159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in AZ · 8787
Definition
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1501 S YALE ST STE 250, Flagstaff, AZ 86001
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRIS MARTIN BRINDLEY DC
Chiropractor
1501 S YALE ST STE 250
FLAGSTAFF, AZ 86001
Coconino County (928) 556-0707
MELISSA LOUISE CARONE NP-C
Nurse Practitioner (Family)
1501 S YALE ST STE 250
FLAGSTAFF, AZ 86001
Coconino County (928) 556-0707
DR. ANDREW J GREGG D.C.
Chiropractor
1501 S YALE ST STE 250
FLAGSTAFF, AZ 86001
Coconino County (928) 556-0707
CYNTHIA ADSON ARNP, FNPBC
Nurse Practitioner (Family)
1501 S YALE ST STE 250
FLAGSTAFF, AZ 86001
Coconino County (928) 556-0707
NAZ MUA LLC
General Practice
1501 S YALE ST STE 250
FLAGSTAFF, AZ 86001
Coconino County (928) 556-0707

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blake Pennock's NPI number?

The NPI number for Blake Pennock is 1053877159. It was assigned to this individual provider in the NPPES registry on February 13, 2019.

Where is Blake Pennock located?

Blake Pennock practices at 1501 S Yale St Ste 250, Flagstaff, AZ 86001. The listed phone number is (928) 557-0707.

What is Blake Pennock's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Blake Pennock was last updated on February 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.