Organization Active NPI

Bloom Chiropractic and Wellness PLLC

  • Chiropractor
  • Curwensville, PA
National Provider Identifier
1114428117
Registry record updated Feb 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC011292 Issued in PA
Legal business name
BLOOM CHIROPRACTIC AND WELLNESS PLLC
Practice address
407 Thompson St
Curwensville, PA 16833-1115
Phone
(814) 791-0213
NPI assigned
Feb 24, 2018
Last updated
Feb 24, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2018

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

Authorized official

Name
Dr. Ashley Rae Bloom, DCNPI 1760900450
Title
Owner/Provider
Phone
(814) 791-0213

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
Chiropractor 111N00000X DC011292 PA Primary

Addresses

Primary practice location

407 Thompson St
Curwensville, PA 16833-1115

Mailing address

407 Thompson St
Curwensville, PA 16833-1115
Phone (814) 791-0213

Other identifiers 1

IdentifierTypeStateIssuer
1033637920001MedicaidPA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1519430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519430400000",
    "number": "1114428117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 THOMPSON ST",
            "city": "CURWENSVILLE",
            "state": "PA",
            "postal_code": "168331115",
            "telephone_number": "814-791-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 THOMPSON ST",
            "city": "CURWENSVILLE",
            "state": "PA",
            "postal_code": "168331115",
            "telephone_number": "814-791-0213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM CHIROPRACTIC AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-24",
        "last_updated": "2018-02-24",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "814-791-0213",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033637920001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Curwensville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2018; 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.