NPIMap

Organization Active NPI

Capital Chiropractic Center, PC

  • Chiropractor
  • Helena, MT
National Provider Identifier
1669646683
Registry record updated Jan 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
369 Issued in MT
Legal business name
CAPITAL CHIROPRACTIC CENTER, PC
Practice address
1732 Prospect Ave
Helena, MT 59601-4550
Phone
(406) 449-7458
Fax
(406) 449-7496
NPI assigned
Apr 22, 2008
Last updated
Jan 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2013

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

Authorized official

Name
Dr. Gary P Blom, DCNPI 1164581336
Title
Owner
Phone
(406) 449-7458

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 369 MT Primary

Addresses

Primary practice location

1732 Prospect Ave
Helena, MT 59601-4550

Mailing address

1732 Prospect Ave
Helena, MT 59601-4550
Phone (406) 449-7458

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040324001593 MT Part B Supplier - Clinic/Group Practice 6204727480 Receives reassigned benefits from 3 practitioners
Practice locations: Helena, MT

National Provider Directory

National Provider Directory

Locations

1732 Prospect Ave
Helena, MT 59601
Phone (406) 449-4445

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358121600000",
    "number": "1669646683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1732 PROSPECT AVE",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014550",
            "telephone_number": "406-449-7458",
            "fax_number": "406-449-7496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1732 PROSPECT AVE",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014550",
            "telephone_number": "406-449-7458",
            "fax_number": "406-449-7496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL CHIROPRACTIC CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2013-01-14",
        "status": "A",
        "authorized_official_last_name": "BLOM",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-449-7458",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; 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.