Active NPI
Zachary Bloom, DC
- Chiropractor
- Lawton, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4386
- Practice address
- 60 NW Sheridan Rd Ste 5
Lawton, OK 73505-6338 - Phone
- (580) 354-9009
- NPI assigned
- Jan 21, 2021
- Last updated
- Jan 21, 2021
- 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 | 4386 | OK | Primary |
Addresses
Primary practice location
60 NW Sheridan Rd Ste 5
Lawton, OK 73505-6338
Mailing address
60 NW Sheridan Rd Ste 5
Lawton, OK 73505-6338
Phone (580) 354-9009
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, TX
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1001 SW Wilshire Blvd
Burleson, TX 76028-5716
Phone (817) 447-1414
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16141 | TX | MD | Professional Counselor |
| 4386 | OK | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anthony Ferrara Chiropractic PC | Chiropractor | Current | Accepting new patients |
| Quantum Chiropractic | Chiropractor | Current | Accepting new patients |
| Health First Chiropractic Clinic PLLC | Chiropractor | Current | Accepting new patients |
| Inner Sun Chiropractic PC | Chiropractor | Current | Accepting new patients |
Locations
60 NW Sheridan Rd
Ste 5
Lawton, OK 73505
Phone (580) 354-9009
401 E Downing St
Tahlequah, OK 74464
Phone (918) 316-3764
1211 W 6th St
Ste 800
Austin, TX 78703
Phone (512) 708-0905
1001 SW Wilshire Blvd
Ste D
Burleson, TX 76028
Phone (817) 447-1414
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Burleson, TX
- NPI 1366262404
-
dba Legacy Family Chiropractic
- Chiropractor
- Burleson, TX
- NPI 1447439617
OK
-
- Chiropractor
- Austin, TX
- NPI 1770874208
-
- Chiropractor
- Lawton, OK
- NPI 1205068566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611187200000",
"number": "1679163950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 NW SHERIDAN RD STE 5",
"city": "LAWTON",
"state": "OK",
"postal_code": "735056338",
"telephone_number": "580-354-9009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 NW SHERIDAN RD STE 5",
"city": "LAWTON",
"state": "OK",
"postal_code": "735056338",
"telephone_number": "580-354-9009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOOM",
"first_name": "ZACHARY",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-21",
"last_updated": "2021-01-21",
"certification_date": "2021-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OK",
"license": "4386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.