Individual provider Active NPI

Joshua David Blunt, D.C., M.S.

  • Chiropractor
  • Bettendorf, IA
National Provider Identifier
1265624704
Registry record updated May 11, 2022
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(3) exclusion effective Jan 18, 2024.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007115 Issued in IA
Practice address
2435 Kimberly Rd Ste 200N
Bettendorf, IA 52722-3526
Phone
(563) 345-6310
Fax
(563) 345-6310
NPI assigned
Aug 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 007115 IA Primary

Addresses

Primary practice location

2435 Kimberly Rd Ste 200N
Bettendorf, IA 52722-3526

Mailing address

2435 Kimberly Rd Ste 200N
Bettendorf, IA 52722-3526
Phone (563) 345-6310

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)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
007115IAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1265624704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 KIMBERLY RD STE 200N",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223526",
            "telephone_number": "563-345-6310",
            "fax_number": "563-345-6310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 KIMBERLY RD STE 200N",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223526",
            "telephone_number": "563-345-6310",
            "fax_number": "563-345-6310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUNT",
        "first_name": "JOSHUA",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.C., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-17",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bettendorf, IA

Sources for this page

Verify at the official NPI Registry.