Daniel E Blossom, P C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DB004810 Issued in MI

Legal business name

DANIEL E BLOSSOM, P C

Practice address

811 W Huron Ave
Vassar, MI 48768-1128

Phone

(989) 823-7076

Fax

(989) 823-3390

NPI assigned

Jul 23, 2008

Last updated

Jul 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Erwin Blossom, D. C.NPI 1881688562

Title

President

Phone

(989) 823-7076

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

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.

• Daniel Erwin Blossom, D.C.

  • Chiropractor
  • Vassar, MI
  • NPI 1881688562
  Medicare reassignment NPD Authorized official
• Sally Blossom, D.C.

  • Chiropractor
  • Vassar, MI
  • NPI 1841655511
  Medicare reassignment

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1063677698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 W HURON AVE",
            "city": "VASSAR",
            "state": "MI",
            "postal_code": "487681128",
            "telephone_number": "989-823-7076",
            "fax_number": "989-823-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 W HURON AVE",
            "city": "VASSAR",
            "state": "MI",
            "postal_code": "487681128",
            "telephone_number": "989-823-7076",
            "fax_number": "989-823-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL E BLOSSOM, P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-23",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "BLOSSOM",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "ERWIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-823-7076",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "DB004810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2809232",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS",
            "identifier": "01001582",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "950G95011",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Austin Brown
• Michael E. Buck, MA, LMSW, CAC II
• Sarah Paula-Marie Buffman, CTRS, CTRI
• Christopher Robert Charkowske, BA
• Kenneth W Cook, B.S., CAC-1
• Dr Robert D Grimshaw DO PLLC
• Alexis Nicole Escott, RN
• Melanie Ferreira
• Toni Folsom
• Ronald Todd Foskett, RPH

• Chiropractor in Vassar, MI
• Providers in Vassar, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.