DR. BLAKE DANTON CARROLL DC
NPI 1962988402
Chiropractor in Tyler, TX

Active since July 18, 2018Accepts Medicare Assignment
6573 OLD JACKSONVILLE HWY STE 100, TYLER, TX 75703(903) 617-6106(903) 617-6857 Get Directions Write a Review

NPPES record last updated: July 18, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Blake Danton Carroll Dc NPPES

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

DR. BLAKE DANTON CARROLL DC (NPI 1962988402) is an individual chiropractor in Tyler, Texas, licensed in Texas (13869) and active in the NPI registry since July 2018. He is a graduate of Other (2017).

NPPES Registry Identity

NPI1962988402
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. BLAKE DANTON CARROLLCredential: DC
Location Address6573 OLD JACKSONVILLE HWY STE 100Tyler, TX 75703-0722
Mailing Address16104 Buckboard CirTyler, TX 75703-7504 · (903) 316-4517
Fax(903) 617-6857
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 18, 2018
NPI 1962988402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in TX · 13869
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.

6573 OLD JACKSONVILLE HWY STE 100, Tyler, TX 75703

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Blake Danton Carroll Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921340159
PECOS Enrollment IDI20190508001503

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
217 services29 patients

Other Providers at the Same Location NPPES 2

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

Chiropractor
6573 OLD JACKSONVILLE HWY STE 100
TYLER, TX 75703
Chiropractor
6573 OLD JACKSONVILLE HWY STE 100
TYLER, TX 75703

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 Carroll's NPI number?

The NPI number for Blake Carroll is 1962988402. It was assigned to this individual provider in the NPPES registry on July 18, 2018.

Where is Blake Carroll located?

Blake Carroll practices at 6573 Old Jacksonville Hwy Ste 100, Tyler, TX 75703. The listed phone number is (903) 617-6106.

What is Blake Carroll's specialty?

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

Is Blake Carroll enrolled in Medicare?

Yes. Blake Carroll is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Blake Carroll accept?

Health plans from Blue Cross and Blue Shield of Texas and CHRISTUS Health Plan list Blake Carroll as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Blake Carroll was last updated on July 18, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.