Active NPI
Theodore James Bloukos, D.C.
- Chiropractor
- Boca Raton, FL
National Provider Identifier
1477713600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH0005220
- Practice address
- 141 NW 20TH St
Suite B-15
Boca Raton, FL 33431-7966 - Phone
- (561) 368-2461
- NPI assigned
- Jun 11, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH0005220 | FL | Primary |
Addresses
Primary practice location
141 NW 20TH St
Suite B-15
Boca Raton, FL 33431-7966
Mailing address
141 NW 20TH St
Suite B-15
Boca Raton, FL 33431-7966
Phone (561) 368-2461
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH0005220 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213142400000",
"number": "1477713600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 NW 20TH ST",
"address_2": "SUITE B-15",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334317966",
"telephone_number": "561-368-2461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 NW 20TH ST",
"address_2": "SUITE B-15",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334317966",
"telephone_number": "561-368-2461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOUKOS",
"first_name": "THEODORE",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-11",
"last_updated": "2008-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH0005220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.