Blaum Chiropractic Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC-4283-L Issued in PA

Legal business name

BLAUM CHIROPRACTIC CENTER

Practice address

105 Main St
Luzerne, PA 18709-1209

Phone

(570) 287-3090

Fax

(570) 287-3060

NPI assigned

Oct 11, 2007

Last updated

Oct 11, 2007By 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. James Gerard Blaum, DCNPI 1336148253

Title

Chiropractor

Phone

(570) 287-3090

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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.

• James Gerard Blaum, D.C.

  • Chiropractor
  • Luzerne, PA
  • NPI 1336148253
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1801084199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MAIN ST",
            "city": "LUZERNE",
            "state": "PA",
            "postal_code": "187091209",
            "telephone_number": "570-287-3090",
            "fax_number": "570-287-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MAIN ST",
            "city": "LUZERNE",
            "state": "PA",
            "postal_code": "187091209",
            "telephone_number": "570-287-3090",
            "fax_number": "570-287-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAUM CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "BLAUM",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "GERARD",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "570-287-3090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC-4283-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015554030002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Al & SP Luzerne LLC
• Agostino J Alfano, DDS
• David A Baker, M.S. SLP
• Jennifer Betts, PSY.D.
• James Gerard Blaum, D.C.
• Samuel A Brand, H.IS.
• Brittany Lehman Counseling, LLC
• Charles J. Spellman Ambulance Service, Inc.
• Cori's Place

• Chiropractor in Luzerne, PA
• Providers in Luzerne, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.