Active NPI
Bloom Chiropractic and Wellness PLLC
- Chiropractor
- Curwensville, PA
National Provider Identifier
1114428117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC011292
- 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, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ashley Rae Bloom, DC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033637920001 | Medicaid | PA |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Chiropractor
- Curwensville, PA
- NPI 1760900450
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.