David M Blong, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

A05199 Issued in IA

Practice address

927 Braden Ave
Chariton, IA 50049-1782

Phone

(641) 774-5611

Fax

(641) 774-5091

NPI assigned

Jul 18, 2005

Last updated

Oct 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191888000000",
    "number": "1447259908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 BRADEN AVE",
            "address_2": "PO BOX 196",
            "city": "CHARITON",
            "state": "IA",
            "postal_code": "500491782",
            "telephone_number": "641-774-5611",
            "fax_number": "641-774-5091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 BRADEN AVE",
            "city": "CHARITON",
            "state": "IA",
            "postal_code": "500491782",
            "telephone_number": "641-774-5611",
            "fax_number": "641-774-5091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLONG",
        "first_name": "DAVID",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2007-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A05199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0270082",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "27008",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth R Anderson, D.O.
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• William Thomas Baer, R.PH. CGP
• Christine Buttell
• Care Initiatives (Chariton Specialty)
• Caregivers of Chariton, LLC
• Chariton Community School District
• Chariton Family Medical Center, P.C.

• Chiropractor in Chariton, IA
• Providers in Chariton, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.