Blumsack Family Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BLUMSACK FAMILY CHIROPRACTIC, LLC

Doing business as

Dr. Paul Blumsack

Practice address

3770 Due West Rd NW Ste 200
Marietta, GA 30064-1024

Phone

(678) 741-8993

Fax

(678) 741-8993

NPI assigned

Sep 16, 2019

Last updated

Sep 16, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Paul Richard Blumsack, DCNPI 1568769990

Title

Owner/Chiropractor

Phone

(678) 741-8993

Specialties & licenses 1

Addresses

Other names 1

• Dr. Paul Blumsack Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

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.

• Paul Blumsack, D.C.

  • Chiropractor
  • Marietta, GA
  • NPI 1568769990
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568592000000",
    "number": "1780234302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3770 DUE WEST RD NW STE 200",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300641024",
            "telephone_number": "678-741-8993",
            "fax_number": "678-741-8993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3770 DUE WEST RD NW STE 200",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300641024",
            "telephone_number": "678-741-8993",
            "fax_number": "678-741-8993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUMSACK FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-16",
        "last_updated": "2019-09-16",
        "status": "A",
        "authorized_official_last_name": "BLUMSACK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "678-741-8993",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Paul Blumsack",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Allison Boardman
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• Chiropractor in Marietta, GA
• Providers in Marietta, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; 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.