Joe Blum, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08002653A Issued in IN

Practice address

812 W Edison Rd
Mishawaka, IN 46545-2744

Phone

(574) 699-4432

Fax

(574) 800-0906

NPI assigned

Jul 19, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Blum Chiropractic LLC

  • Chiropractor
  • Mishawaka, IN
  • NPI 1235709130
  Medicare reassignment NPD

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

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1811242456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54751 RUSTIC TER",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465451568",
            "telephone_number": "574-276-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 W EDISON RD",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465452744",
            "telephone_number": "574-699-4432",
            "fax_number": "574-800-0906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUM",
        "first_name": "JOE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-19",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002653A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney M Blaze, CMT
• Ashly A Blea
• Travis Block, M. ED., ED.S., NCSP
• Emily Blois, RD, LDN
• Blum Chiropractic LLC
• Adrianna Sherrie Blunt
• Jamia Bobbitt
• Jennifer Boettcher
• Mimzy Vanessa Bohannon
• Daniel A Boll, MD

• Chiropractor in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.

Verify at the official NPI Registry.