Organization Active NPI

Blooming Life Chiropractic LLC

  • Chiropractor
  • Blue Springs, MO
National Provider Identifier
1326879370
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BLOOMING LIFE CHIROPRACTIC LLC
Practice address
1040 SW Luttrell Rd Ste G
Blue Springs, MO 64015-4967
Phone
(816) 366-7783
NPI assigned
Aug 12, 2024
Last updated
Aug 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Authorized official

Name
Jordan Preston, D.C.
Title
Owner
Phone
(479) 652-0579

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

1040 SW Luttrell Rd Ste G
Blue Springs, MO 64015-4967

Mailing address

1217 Meadowlark CT
Liberty, MO 64068-8475
Phone (479) 652-0579

National Provider Directory

National Provider Directory

Locations

1040 SW Luttrell Rd
Ste G
Blue Springs, MO 64015
Phone (816) 366-7783

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1326879370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 MEADOWLARK CT",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640688475",
            "telephone_number": "479-652-0579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 SW LUTTRELL RD STE G",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640154967",
            "telephone_number": "816-366-7783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMING LIFE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "PRESTON",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-652-0579",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Springs, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.