Bloom Chiropractic Center PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2077 Issued in MN

Legal business name

BLOOM CHIROPRACTIC CENTER PA

Practice address

1606 Cliff Rd E
Burnsville, MN 55337-1300

Phone

(952) 894-6300

Fax

(952) 894-2601

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kathleen Ann Bloom, D.C.NPI 1073611497

Title

President

Phone

(952) 894-6300

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathleen Ann Bloom, D.C.

  • Chiropractor
  • Burnsville, MN
  • NPI 1073611497
  Medicare reassignment Care Compare group NPD Authorized official
• Nancy A. Marihart, D.C.

  • Chiropractor
  • White Bear Lake, MN
  • NPI 1811067705
  Medicare reassignment Care Compare group
• Stacy Neal, DC

  • Chiropractor
  • Burnsville, MN
  • NPI 1053049189
  Medicare reassignment NPD
• Casey Randall Voehl, D.C.

  • Chiropractor
  • Aberdeen, SD
  • NPI 1477824381
  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655769600000",
    "number": "1417075532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 CLIFF RD E",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553371300",
            "telephone_number": "952-894-6300",
            "fax_number": "952-894-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 CLIFF RD E",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553371300",
            "telephone_number": "952-894-6300",
            "fax_number": "952-894-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM CHIROPRACTIC CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-894-6300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "706527200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mariana Beatriz Blanco Ruiz
• Frances Shepard Bland
• Jessica Bleninger
• Blitzen Hauling, LLC
• Katherine Blomquist, DO
• Bloom Early Intervention Center LLC
• Bloom Studio and Counseling Services LLC
• Jody Lee Bloom
• Kathleen Ann Bloom, D.C.
• Jerry Blume, LICSW

• Chiropractor in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; 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.