Organization Active NPI

Bloom Chiropractic & Wellness Center

  • Chiropractor
  • Houston, TX
National Provider Identifier
1003260159
Registry record updated Apr 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12513 Issued in TX
Legal business name
BLOOM CHIROPRACTIC & WELLNESS CENTER
Practice address
4061 Bellaire Blvd
Suite a
Houston, TX 77025-1121
Phone
(832) 930-2261
Fax
(504) 323-5832
NPI assigned
Apr 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Amber Dawn Bloom, D.C.
Title
Member
Phone
(832) 930-2261

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 12513 TX Primary

Addresses

Primary practice location

4061 Bellaire Blvd
Suite a
Houston, TX 77025-1121

Mailing address

4061 Bellaire Blvd
Suite a
Houston, TX 77025-1121
Phone (832) 930-2261

Other names 1

  • Bloom Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

4061 Bellaire Blvd
#A
Houston, TX 77025
Phone (713) 589-9736

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460592000000",
    "number": "1003260159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4061 BELLAIRE BLVD",
            "address_2": "SUITE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770251121",
            "telephone_number": "832-930-2261",
            "fax_number": "504-323-5832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4061 BELLAIRE BLVD",
            "address_2": "SUITE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770251121",
            "telephone_number": "832-930-2261",
            "fax_number": "504-323-5832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM CHIROPRACTIC & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-14",
        "last_updated": "2016-04-14",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "832-930-2261",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bloom Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.