Individual provider Active NPI

Daniel R Blohm, DC

  • Chiropractor
  • Clinton, IA
National Provider Identifier
1245200799
Registry record updated Sep 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
A05764 Issued in IA
Practice address
326 3Rd Ave S
Clinton, IA 52732-4436
Phone
(563) 242-9122
NPI assigned
Jan 26, 2006
Last updated
Sep 8, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X A05764 IA Primary

Addresses

Primary practice location

326 3Rd Ave S
Clinton, IA 52732-4436

Mailing address

326 3Rd Ave S
Clinton, IA 52732-4436
Phone (563) 242-9122

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120209000463 IA Practitioner - Chiropractic 0143487728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stumbaugh IncGroup PAC ID 4183758865, 2 clinicians

Practice addresses (Care Compare)

1300 Sunset Dr
Norwalk, IA 50211-1344
Phone (515) 981-9208

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bart W Leavens PC CurrentSince Dec 3, 2011 Accepting new patients
Stumbaugh Inc Chiropractor CurrentSince Aug 1, 2023 Accepting new patients

Locations

326 3rd Ave S
Clinton, IA 52732
Phone (563) 241-4295

1300 Sunset Dr
Norwalk, IA 50211
Phone (515) 981-9208

Organizations & group practices 3

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": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315440000000",
    "number": "1245200799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 3RD AVE S",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527324436",
            "telephone_number": "563-242-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 3RD AVE S",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527324436",
            "telephone_number": "563-242-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOHM",
        "first_name": "DANIEL",
        "middle_name": "R",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2011-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A05764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.