BLACKSPHERE CHIROPRACTIC, PC
NPI 1679443253
Chiropractor in San Diego, CA
About Blacksphere Chiropractic, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLACKSPHERE CHIROPRACTIC, PC (NPI 1679443253) is a healthcare organization registered as a chiropractor in San Diego, California and active in the NPI registry since November 2025. The organization lists Kristi Black, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Blacksphere Chiropractic, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Blacksphere Chiropractic, PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Blacksphere Chiropractic, PC's NPI number?
The NPI number for Blacksphere Chiropractic, PC is 1679443253. It was assigned to this organization in the NPPES registry on November 7, 2025.
Where is Blacksphere Chiropractic, PC located?
Blacksphere Chiropractic, PC is located at 12396 World Trade Dr Ste 210, San Diego, CA 92128. The listed phone number is (619) 431-1082.
What is Blacksphere Chiropractic, PC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Blacksphere Chiropractic, PC enrolled in Medicare?
Yes. Blacksphere Chiropractic, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Blacksphere Chiropractic, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Blacksphere Chiropractic, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Blacksphere Chiropractic, PC was last updated on November 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.
# Blacksphere Chiropractic, Pc · NPI 1679443253
Chiropractor organization in San Diego, California. Organization record, active in the CMS NPPES registry since November 7, 2025.
## Identity
- **NPI:** 1679443253 (Entity type: Organization)
- **Enumerated:** November 7, 2025
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Kristi Black, CEO
## Practice location
- **Address:** 12396 WORLD TRADE DR STE 210, San Diego, CA 92128-3788
- **Phone:** (619) 431-1082
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 7, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1679443253) · Data from the CMS NPPES public registry.