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

Dr. Jacob Blair

Individual provider Chiropractor · NPI 1194543868

Dr. Jacob Blair is a Chiropractic in Edmond, Oklahoma. Qualified in 2023, 3 years ago. Practices with Koenig Physical Medicine, PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
3
Licensed in
OK
In the registry since
2024
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Practice location Address checks out

800 W 18th St Ste 120
Edmond, OK 73013-3759
Phone: (405) 726-2727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 4631 (OK)

Record details

NPI number1194543868
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 1, 2024
Last updated in NPPESOctober 1, 2024
Certification dateOctober 1, 2024
Mailing address2417 Lolo Trl, Edmond, OK 73003-1035

Medicare enrollment

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

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Koenig Physical Medicine, Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Edmond