Active NPI
Albert Joseph Blase Jr., DC
- Chiropractor
- Asheboro, NC
National Provider Identifier
1043312762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 881
- Practice address
- 177 NC Highway 42 N Ste a
Asheboro, NC 27203-7955 - Phone
- (336) 625-1750
- Fax
- (336) 629-7650
- NPI assigned
- Sep 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 881 | NC | Primary |
Addresses
Primary practice location
177 NC Highway 42 N Ste a
Asheboro, NC 27203-7955
Mailing address
177 NC Highway 42 N Ste a
Asheboro, NC 27203-7955
Phone (336) 625-1750
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8908259 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 881 | NC | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043312762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "177 NC HIGHWAY 42 N STE A",
"city": "ASHEBORO",
"state": "NC",
"postal_code": "272037955",
"telephone_number": "336-625-1750",
"fax_number": "336-629-7650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "177 NC HIGHWAY 42 N STE A",
"city": "ASHEBORO",
"state": "NC",
"postal_code": "272037955",
"telephone_number": "336-625-1750",
"fax_number": "336-629-7650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLASE",
"first_name": "ALBERT",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "881",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8908259",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Asheboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.