Active NPI
Gary P Blom, DC
- Chiropractor
- Helena, MT
National Provider Identifier
1164581336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 369
- Practice address
- 1732 Prospect Ave
Helena, MT 59601-4550 - Phone
- (406) 449-7458
- Fax
- (406) 449-7496
- NPI assigned
- Dec 6, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 369 | MT | Primary |
Addresses
Primary practice location
1732 Prospect Ave
Helena, MT 59601-4550
Mailing address
1732 Prospect Ave
Helena, MT 59601-4550
Phone (406) 449-7458
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 |
|---|---|---|---|
| 369 | MT | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283212800000",
"number": "1164581336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1732 PROSPECT AVE",
"city": "HELENA",
"state": "MT",
"postal_code": "596014550",
"telephone_number": "406-449-7458",
"fax_number": "406-449-7496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1732 PROSPECT AVE",
"city": "HELENA",
"state": "MT",
"postal_code": "596014550",
"telephone_number": "406-449-7458",
"fax_number": "406-449-7496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOM",
"first_name": "GARY",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2010-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MT",
"license": "369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Helena, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.