NPIMap

Organization Active NPI

Bloomfield Chiropractor Center Inc

Doing business as Bloomfield Whiplash Center

  • Chiropractor
  • Bloomfield, NM
National Provider Identifier
1891795589
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
782 Issued in NM
Legal business name
BLOOMFIELD CHIROPRACTOR CENTER INC
Doing business as
Bloomfield Whiplash Center
Practice address
308 N 1St St
Bloomfield, NM 87413-5305
Phone
(505) 632-1111
Fax
(505) 632-1111
NPI assigned
Jul 26, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robin Irvin Glass, DC DACNBNPI 1760569990
Title
President
Phone
(505) 632-1111

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5558 CO
Chiropractor 111N00000X 782 NM Primary

Addresses

Primary practice location

308 N 1St St
Bloomfield, NM 87413-5305

Mailing address

308 N 1St St
Bloomfield, NM 87413-5305
Phone (505) 632-1111

Other names 1

  • Bloomfield Whiplash Center Doing business as

National Provider Directory

National Provider Directory

Locations

308 N 1st St
Bloomfield, NM 87413
Phone (505) 632-1111

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891795589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 N 1ST ST",
            "city": "BLOOMFIELD",
            "state": "NM",
            "postal_code": "874135305",
            "telephone_number": "505-632-1111",
            "fax_number": "505-632-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 N 1ST ST",
            "city": "BLOOMFIELD",
            "state": "NM",
            "postal_code": "874135305",
            "telephone_number": "505-632-1111",
            "fax_number": "505-632-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMFIELD CHIROPRACTOR CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GLASS",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "IRVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-632-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC DACNB"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5558",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bloomfield Whiplash Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomfield, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.