NPIMap

Organization Active NPI

Keith S Blum DO PC

  • Speech-Language Pathologist
  • Las Vegas, NV
National Provider Identifier
1457590366
Registry record updated Dec 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP781 Issued in NV
Legal business name
KEITH S BLUM DO PC
Practice address
7730 W Sahara Ave
Suite 109
Las Vegas, NV 89117-2798
Phone
(702) 240-4090
NPI assigned
Feb 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2010

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

Authorized official

Name
Keith Blum, MDNPI 1558417345
Title
Physician
Phone
(702) 240-4090

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
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SP781 NV Primary

Addresses

Primary practice location

7730 W Sahara Ave
Suite 109
Las Vegas, NV 89117-2798

Mailing address

PO Box 81136
Las Vegas, NV 89180-1136
Phone (702) 256-3637

National Provider Directory

National Provider Directory
Tax ID family
Keith S Blum DO PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293408000000",
    "number": "1457590366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81136",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891801136",
            "telephone_number": "702-256-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7730 W SAHARA AVE",
            "address_2": "SUITE 109",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172798",
            "telephone_number": "702-240-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH S BLUM DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-17",
        "last_updated": "2010-12-27",
        "status": "A",
        "authorized_official_last_name": "BLUM",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "702-240-4090",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NV",
            "license": "SP781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2010; 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.