Organization Active NPI

Chironetics International Incorporated

  • Chiropractor
  • Ottsville, PA
National Provider Identifier
1841607454
Registry record updated Jul 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHIRONETICS INTERNATIONAL INCORPORATED
Practice address
8794 Easton Rd
Ottsville, PA 18942-9669
Phone
(610) 847-9936
Fax
(610) 847-5953
NPI assigned
Jul 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2014

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

Authorized official

Name
Dr. Marc Bloom, D.C.NPI 1376502377
Title
President
Phone
(610) 847-9936

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

8794 Easton Rd
Ottsville, PA 18942-9669

Mailing address

8794 Easton Rd
Ottsville, PA 18942-9669
Phone (610) 847-9936

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150209001243 PA Part B Supplier - Clinic/Group Practice 9032434352 Receives reassigned benefits from 1 practitioner
Practice locations: Ottsville, PA

National Provider Directory

National Provider Directory

Locations

8794 Easton Rd
Ottsville, PA 18942
Phone (610) 847-9936

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405382400000",
    "number": "1841607454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8794 EASTON RD",
            "city": "OTTSVILLE",
            "state": "PA",
            "postal_code": "189429669",
            "telephone_number": "610-847-9936",
            "fax_number": "610-847-5953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8794 EASTON RD",
            "city": "OTTSVILLE",
            "state": "PA",
            "postal_code": "189429669",
            "telephone_number": "610-847-9936",
            "fax_number": "610-847-5953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIRONETICS INTERNATIONAL INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-15",
        "last_updated": "2014-07-15",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-847-9936",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ottsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; 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.