Organization Active NPI

Quantum Chiropractic

  • Chiropractor
  • Burleson, TX
National Provider Identifier
1366262404
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
QUANTUM CHIROPRACTIC
Practice address
1001 SW Wilshire Blvd Ste D
Burleson, TX 76028-5716
Phone
(817) 447-1414
NPI assigned
Oct 14, 2024
Last updated
Oct 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Authorized official

Name
Zachary Bloom, DCNPI 1679163950
Title
Owner
Phone
(918) 724-8411

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

1001 SW Wilshire Blvd Ste D
Burleson, TX 76028-5716

Mailing address

1001 SW Wilshire Blvd Ste 5
Burleson, TX 76028-5767
Phone (817) 447-1414

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241223003458 TX Part B Supplier - Clinic/Group Practice 7315474764 Receives reassigned benefits from 3 practitioners
Practice locations: Burleson, TX

National Provider Directory

National Provider Directory

Locations

1001 SW Wilshire Blvd
Ste 5
Burleson, TX 76028

Practitioners & affiliated clinicians

Practitioners 2

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": "1728864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1366262404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 SW WILSHIRE BLVD STE 5",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760285767",
            "telephone_number": "817-447-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SW WILSHIRE BLVD STE D",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760285716",
            "telephone_number": "817-447-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUANTUM CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-724-8411",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burleson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.