William Dustin Blueter, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3483 Issued in OH

Practice address

6693 N Chestnut St
Suite 128
Ravenna, OH 44266-3922

Phone

(330) 297-9797

Fax

(330) 296-2329

NPI assigned

Aug 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bluechip Initiative IncGroup PAC ID 7315937760, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Bluechip Initiative Inc

  dba Ravenna Chiropractic & Acupuncture

  • Rehabilitation Chiropractor
  • Ravenna, OH
  • NPI 1891908539
  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1156550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349740800000",
    "number": "1629186101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6693 N CHESTNUT ST",
            "address_2": "SUITE 128",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442663922",
            "telephone_number": "330-297-9797",
            "fax_number": "330-296-2329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6693 N CHESTNUT ST",
            "address_2": "SUITE 128",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442663922",
            "telephone_number": "330-297-9797",
            "fax_number": "330-296-2329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUETER",
        "first_name": "WILLIAM",
        "middle_name": "DUSTIN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-26",
        "last_updated": "2012-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000323264",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTH CARE",
            "identifier": "665061",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7011533",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUMMACARE",
            "identifier": "WB341321738",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Blasiole, PT
• Rebecca Blinsky
• Kristen Blount, COTA/L
• Carella Blue
• Bluechip Initiative Inc (Ravenna Chiropractic & Acupuncture)
• Alicia Amber Bluhm
• Joseph David Bocchicchio
• Lisa M Boris, LISW
• Born to Stand Out
• Maria Franchesca Bowen, PHARMD, RPH

• Chiropractor in Ravenna, OH
• Providers in Ravenna, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; 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.