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

Dr. Edward A. Blanco, DC

Individual provider Chiropractor · NPI 1013003771

Dr. Edward A. Blanco, DC is a Chiropractic in Louisville, Kentucky. Graduated from Life Chiropractic College in 1999, 27 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky and Tennessee.

Years since qualifying
27
Trained at
Life Chiropractic College
Licensed in
KY, TN
In the registry since
2006
Specialties on file
2
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

12464 La Grange Rd
Louisville, KY 40245-1901
Phone: (502) 205-2090
Fax: (502) 205-2091
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 211 B Sherway Rd, Knoxville, TN 37922 — (865) 670-0650

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 290033 (KY)
Chiropractor Taxonomy 111N00000X · Licence DC0000001562 (TN)

Record details

NPI number1013003771
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedOctober 4, 2006
Last updated in NPPESJuly 17, 2024
Certification dateJuly 17, 2024
Mailing address12464 La Grange Rd, Louisville, KY 40245-1901

Medicare enrollment

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

Medicare specialtyCHIROPRACTIC
Medical schoolLIFE CHIROPRACTIC COLLEGE
Graduated 1999 (27 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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