Active NPI
Jason Henry Blumenfeld, D.C.
- Rehabilitation Chiropractor
- St. Louis, MO
National Provider Identifier
1912129016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- MO 6068
- Practice address
- 14 Ronnie'S Plaza
St. Louis, MO 63126-3552 - Phone
- (314) 843-0490
- Fax
- (314) 843-9186
- NPI assigned
- May 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | MO 6068 | MO | Primary |
Addresses
Primary practice location
14 Ronnie'S Plaza
St. Louis, MO 63126-3552
Mailing address
14 Ronnie'S Plaza
St. Louis, MO 63126-3552
Phone (314) 843-0490
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44-06969 | Other | MO | UNITED HEALTH CARE |
| 195026 | Other | MO | HEALTHLINK HMO |
| 4347363 | Other | MO | AETNA |
| 4282 | Other | MO | ANTHEM BCBS |
| 195026 | Other | MO | HELATHLINK PPO |
| 32627 | Other | MO | GHP COVENTRY |
| 5502325002 | Other | MO | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101005000160 | MO | Practitioner - Chiropractic | 6103018569 | Practice locations: Saint Louis, MO |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
14 Ronnies PLZ
Saint Louis, MO 63126-3552
Phone (314) 843-0490
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MO 6068 | MO | MD | Rehabilitation Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1912129016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 RONNIE'S PLAZA",
"city": "ST. LOUIS",
"state": "MO",
"postal_code": "631263552",
"telephone_number": "314-843-0490",
"fax_number": "314-843-9186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 RONNIE'S PLAZA",
"city": "ST. LOUIS",
"state": "MO",
"postal_code": "631263552",
"telephone_number": "314-843-0490",
"fax_number": "314-843-9186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLUMENFELD",
"first_name": "JASON",
"middle_name": "HENRY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "MO",
"license": "MO 6068",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "44-06969",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK HMO",
"identifier": "195026",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4347363",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "4282",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HELATHLINK PPO",
"identifier": "195026",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHP COVENTRY",
"identifier": "32627",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "5502325002",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in St. Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.