NPIMap

Organization Active NPI

Daniel R Blohm DC PLC

  • Chiropractor
  • Clinton, IA
National Provider Identifier
1033390752
Registry record updated Nov 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
A05764 Issued in IA
Legal business name
DANIEL R BLOHM DC PLC
Practice address
326 3Rd Ave S
Clinton, IA 52732-4436
Phone
(563) 242-9122
Fax
(563) 242-9122
NPI assigned
Nov 21, 2007
Last updated
Nov 21, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2007

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

Authorized official

Name
Dr. Daniel R Blohm, D.C.NPI 1245200799
Title
Owner
Phone
(563) 242-9122

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X A05764 IA Primary

Addresses

Primary practice location

326 3Rd Ave S
Clinton, IA 52732-4436

Mailing address

326 3Rd Ave S
Clinton, IA 52732-4436
Phone (563) 242-9122

Other identifiers 3

IdentifierTypeStateIssuer
2109264MedicaidIA
1231514MedicaidIA
2005306MedicaidIA

Other names 1

  • Blohm Chiropractic health service Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1033390752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 3RD AVE S",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527324436",
            "telephone_number": "563-242-9122",
            "fax_number": "563-242-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 3RD AVE S",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527324436",
            "telephone_number": "563-242-9122",
            "fax_number": "563-242-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL R BLOHM DC PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "BLOHM",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-242-9122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A05764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2109264",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1231514",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2005306",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blohm Chiropractic health service",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Clinton, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; 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.