Individual provider Active NPI

Kristina Blum, D.C.

  • Chiropractor
  • Reno, NV
National Provider Identifier
1083945760
Registry record updated Jun 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B01861 Issued in NV
Practice address
475 Hill St Ste E
Reno, NV 89501-1839
Phone
(775) 560-8030
NPI assigned
Jan 20, 2010
Last updated
Jun 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 31135 CA
Chiropractor 111N00000X B01861 NV Primary

Addresses

Primary practice location

475 Hill St Ste E
Reno, NV 89501-1839

Mailing address

475 Hill St Ste E
Reno, NV 89501-1839
Phone (775) 560-8030

Other practice location 1

555 Front St
San Francisco, CA 94111-1911
Phone (415) 781-2225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241002000488 NV Practitioner - Chiropractic 0648711432

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
On Point Chiropractic LLC CurrentSince Jan 1, 2023 Accepting new patients

Locations

475 Hill St
Ste E
Reno, NV 89501
Phone (775) 560-8030

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717286400000",
    "number": "1083945760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 HILL ST STE E",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895011839",
            "telephone_number": "775-560-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 HILL ST STE E",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895011839",
            "telephone_number": "775-560-8030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 Front St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941111911",
            "country_code": "US",
            "telephone_number": "415-781-2225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLUM",
        "first_name": "KRISTINA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-20",
        "last_updated": "2024-06-02",
        "certification_date": "2024-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "31135",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B01861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2024; 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.