Shannon Reed Blumhardt, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4842 Issued in NC

Practice address

2721 X Ray Dr
Gastonia, NC 28054-7491

Phone

(704) 874-2255

Fax

(704) 810-7417

NPI assigned

Nov 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations (25 of 31)

Interoperability endpoints

• Direct secure messaging: sblumhardt258471@direct.ochin.org

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

• Gaston Family Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Gastonia, NC
  • NPI 1215932215

  NC

  Medicare reassignment NPD
• Gaston Family Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Gastonia, NC
  • NPI 1306644315
  NPD
• Gaston Family Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Conover, NC
  • NPI 1750861308
  NPD
• Fountain of Life Family Chiropractic, Inc.

  • Chiropractor
  • Kansas City, MO
  • NPI 1912020033
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1205908282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 2ND AVE STE 106",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280524358",
            "telephone_number": "704-874-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2721 X RAY DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280547491",
            "telephone_number": "704-874-2255",
            "fax_number": "704-810-7417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUMHARDT",
        "first_name": "SHANNON",
        "middle_name": "REED",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blossom Community Services
• Jonathan Ross Blowe, D.D.S.
• Blu Lotus LLC
• Blue Star Home Care Services LLC.
• Blue Star Home Care Services LLC.
• Prince Boakye
• Thomas Gordon Bocchino, AU.D
• Veronica Kay Boden, LCMHC
• Carley W Bohannon, CRNA
• Laouratou Boiro, LCMHCA

• All providers in Gastonia, NC
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; 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.