Individual provider Active NPI

James Raymond Blum, D.C.,DIPL.AC

  • Chiropractor
  • Richardson, TX
National Provider Identifier
1750410122
Registry record updated Apr 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9098 Issued in TX
Practice address
3025 E Renner Rd
120
Richardson, TX 75082-3580
Phone
(972) 231-4128
Fax
(972) 231-6392
NPI assigned
Mar 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 9098 TX Primary

Addresses

Primary practice location

3025 E Renner Rd
120
Richardson, TX 75082-3580

Mailing address

3025 E Renner Rd
120
Richardson, TX 75082-3580
Phone (972) 231-4128

Other identifiers 1

IdentifierTypeStateIssuer
8AD907OtherTXBCBS INDIVIDUAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

NPI Registry JSON

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

{
    "created_epoch": "1172880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272585600000",
    "number": "1750410122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 E RENNER RD",
            "address_2": "120",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750823580",
            "telephone_number": "972-231-4128",
            "fax_number": "972-231-6392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 E RENNER RD",
            "address_2": "120",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750823580",
            "telephone_number": "972-231-4128",
            "fax_number": "972-231-6392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUM",
        "first_name": "JAMES",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "D.C.,DIPL.AC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-03",
        "last_updated": "2010-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL",
            "identifier": "8AD907",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2010; 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.