Deflores Chiropractic Clinics PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301002227 Issued in MI

Legal business name

DEFLORES CHIROPRACTIC CLINICS PC

Practice address

5065 Miller Rd
Flint, MI 48507-1037

Phone

(810) 732-6780

Fax

(810) 733-7246

NPI assigned

Mar 29, 2007

Reactivated

Jan 30, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Aaron K Blossom, DC

Title

President

Phone

(810) 732-6780

Specialties & licenses 1

Addresses

Other identifiers 7

Other names 1

• Blossom Chiropractic Clinic Doing business as

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417651200000",
    "number": "1336269190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5065 MILLER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071037",
            "telephone_number": "810-732-6780",
            "fax_number": "810-733-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5065 MILLER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071037",
            "telephone_number": "810-732-6780",
            "fax_number": "810-733-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEFLORES CHIROPRACTIC CLINICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2014-12-04",
        "deactivation_date": "2007-12-28",
        "reactivation_date": "2008-01-30",
        "status": "A",
        "authorized_official_last_name": "BLOSSOM",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-732-6780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301002227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0005935508",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U.S. DEPARTMENT OF LABOR",
            "identifier": "135332500",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350026642",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD",
            "identifier": "950B551410",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN HEALTHCARE",
            "identifier": "1002107",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS",
            "identifier": "01003624",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CL4205",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blossom Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Debeau, MD
• William Jacob Decker
• Madison Mae Decoba
• Jillian Dee
• Marian Letitia Deeghan, LMSW, ACSW, LMFT
• Christine Deforest
• Stephen D Defriez, D.O.
• Barbara Degayner
• Emily Jane Dehem, MT-BC, NICU-MT
• Dehnel Inc

• Chiropractor in Flint, MI
• Providers in Flint, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; 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.