Carl L. Blomenkamp,D.C.,P.C.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

5008 Issued in MO

Legal business name

CARL L. BLOMENKAMP,D.C.,P.C.

Practice address

2853 W Broadway St
Bolivar, MO 65613-3379

Phone

(417) 326-3888

NPI assigned

May 4, 2010

Last updated

May 4, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Carl Lawrence Blomenkamp, D.C.NPI 1194881169

Title

Director

Phone

(417) 326-3888

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Carl L Blomenkamp, D.C.

  • Chiropractor
  • Bolivar, MO
  • NPI 1194881169
  Authorized official Same address or phone

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272931200000",
    "number": "1316265127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2853 W BROADWAY ST",
            "address_2": "PO BOX 16",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656133379",
            "telephone_number": "417-326-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2853 W BROADWAY ST",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656133379",
            "telephone_number": "417-326-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARL L. BLOMENKAMP,D.C.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-04",
        "last_updated": "2010-05-04",
        "status": "A",
        "authorized_official_last_name": "BLOMENKAMP",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "417-326-3888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MO",
            "license": "5008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "5008",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leah M Cagle, OTR
• Robert Dale Cagle, D.O.
• Shannon Leigh Calvert, MD
• Ian Scott Campbell
• Zachary Carel, MD
• Chad Lee Carrel, PA
• Cara Lea Carrington, PT, DPT
• Casablanca Care Center, LLC (Casablanca Care Center)
• Central Care PA (Central Care Cancer Center)
• Central Care, PA (Central Care Cancer Center)

• Clinic/Center in Bolivar, MO
• Providers in Bolivar, MO by specialty
• Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.

Verify at the official NPI Registry.