Individual provider Active NPI

Jarid S Bleiman, DC

  • Chiropractor
  • Easton, PA
National Provider Identifier
1528396298
Registry record updated Dec 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009118 Issued in PA
Practice address
1700 Sullivan TRL Ste 12
Easton, PA 18040-8333
Phone
(610) 438-3040
Fax
(610) 438-3613
NPI assigned
Nov 18, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC009118 PA Primary

Addresses

Primary practice location

1700 Sullivan TRL Ste 12
Easton, PA 18040-8333

Mailing address

1700 Sullivan TRL Ste 12
Easton, PA 18040-8333
Phone (610) 438-3040

Other identifiers 2

IdentifierTypeStateIssuer
1031515940001MedicaidPA
1528396298OtherNPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150819006533 PA Practitioner - Chiropractic 7315252400 Practice locations: Easton, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC009118PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Chiropractic Center Chiropractor PastSince Jan 26, 2020 Accepting new patients
Palank Chiropractic LLC Chiropractor Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577491200000",
    "number": "1528396298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 SULLIVAN TRL STE 12",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180408333",
            "telephone_number": "610-438-3040",
            "fax_number": "610-438-3613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 SULLIVAN TRL STE 12",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180408333",
            "telephone_number": "610-438-3040",
            "fax_number": "610-438-3613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEIMAN",
        "first_name": "JARID",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-18",
        "last_updated": "2019-12-28",
        "certification_date": "2019-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1031515940001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1528396298",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2019; 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.