BLACKWELL FAMILY CHIROPRACTIC INC PC
NPI 1881002087
Chiropractor in Blackwell, OK

Active since July 31, 2014
1312 W DOOLIN AVE, BLACKWELL, OK 74631(580) 363-0084(580) 363-0079 Get Directions Write a Review

NPPES record last updated: August 27, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Blackwell Family Chiropractic Inc Pc NPPES

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

BLACKWELL FAMILY CHIROPRACTIC INC PC (NPI 1881002087) is a healthcare organization registered as a chiropractor in Blackwell, Oklahoma and active in the NPI registry since July 2014. The organization lists Lisa Ann Kahle, President, Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1881002087
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameBLACKWELL FAMILY CHIROPRACTIC INC PC
Location Address1312 W DOOLIN AVEBlackwell, OK 74631-1357
Mailing Address1312 W Doolin AveBlackwell, OK 74631-1357 · (580) 363-0084 · Fax (580) 363-0079
Fax(580) 363-0079
Organization SubpartNo
Authorized OfficialLisa Ann KahlePresident, Chiropractor · (580) 363-0084
Enumeration DateJuly 31, 2014
Last NPPES UpdateAugust 27, 2014
✔ NPI 1881002087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in OK · 3716
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.
1312 W DOOLIN AVE, Blackwell, OK 74631

Other Identifiers 1

Medicare UPINV04712OK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blackwell Family Chiropractic Inc Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateOklahomaEnrollment IDO20140814001570Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Blackwell Family Chiropractic Inc PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1912011180
1312 W DOOLIN AVE
Blackwell, OK 74631
(580) 363-0084
✔ Accepts MedicareSame address

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 Blackwell Family Chiropractic Inc PC's NPI number?

The NPI number for Blackwell Family Chiropractic Inc PC is 1881002087. It was assigned to this organization in the NPPES registry on July 31, 2014.

Where is Blackwell Family Chiropractic Inc PC located?

Blackwell Family Chiropractic Inc PC is located at 1312 W Doolin Ave, Blackwell, OK 74631. The listed phone number is (580) 363-0084.

What is Blackwell Family Chiropractic Inc PC's specialty?

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

Is Blackwell Family Chiropractic Inc PC enrolled in Medicare?

Yes. Blackwell Family Chiropractic Inc PC is registered in the Medicare PECOS enrollment system.

When is Blackwell Family Chiropractic Inc PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Oklahoma, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Blackwell Family Chiropractic Inc PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Blackwell Family Chiropractic Inc 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 Blackwell Family Chiropractic Inc PC was last updated on August 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.