Ian Bloom, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

03499 Issued in MD

Practice address

11140 Rockville Pike
Ste 303
North Bethesda, MD 20852-3106

Phone

(301) 458-0204

NPI assigned

Jan 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Right Choice Chiropractic

  • Chiropractor
  • Laurel, MD
  • NPI 1861611964
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384992000000",
    "number": "1538214481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5712 CHAPMAN MILL DR",
            "address_2": "APT 310",
            "city": "NORTH BETHESDA",
            "state": "MD",
            "postal_code": "208525542",
            "telephone_number": "202-494-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11140 ROCKVILLE PIKE",
            "address_2": "STE 303",
            "city": "NORTH BETHESDA",
            "state": "MD",
            "postal_code": "208523106",
            "telephone_number": "301-458-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "IAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2013-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "03499",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "30261",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seyed Mahmood Bathaiian, MD
• Brandon Elijah Beatty
• Ariana Farr Beldoch, LCSW-C
• Judith Chertoff Berman, M.D.
• Bethesda Endoscopy Center, LLC
• Anna Borissow, DPT
• Ashley Boswell, PSYD
• Sabrina Bowen, LCMFT
• Marisa Ann Brawerman, PT , DPT
• Adam Lewis Brown, M.S., ATC

• Chiropractor in North Bethesda, MD
• Providers in North Bethesda, MD by specialty
• Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2013; 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.