Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Blake Danton Carroll, DC

Individual provider Chiropractor · NPI 1962988402

Dr. Blake Danton Carroll, DC is a Chiropractic in Tyler, Texas. Qualified in 2017, 9 years ago. Practices with Flynn Chiropractic PC, a 2-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
9
Licensed in
TX
In the registry since
2018
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

6573 Old Jacksonville Hwy Ste 100
Tyler, TX 75703-0722
Phone: (903) 617-6106
Fax: (903) 617-6857
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 13869 (TX)

Record details

NPI number1962988402
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedJuly 18, 2018
Last updated in NPPESJuly 18, 2018
Mailing address16104 Buckboard Cir, Tyler, TX 75703-7504

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Flynn Chiropractic Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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