John M. Blucker, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

13459 Issued in CA

Practice address

9211 Archibald Ave
Rancho Cucamonga, CA 91730-5207

Phone

(909) 980-4954

Fax

(909) 980-2455

NPI assigned

Mar 25, 2007

Last updated

Jul 9, 2007By the provider in NPPES

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 CA

Enrollment records 1

Specialty

Chiropractic

Education

Los Angeles College of Chiropractic, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• John M. Blucker, a Chiropractic Corporation

  dba Cucamonga Chiropractic

  • Chiropractor
  • Rancho Cucamonga, CA
  • NPI 1770858664
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1174780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1972620789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9211 ARCHIBALD AVE",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305207",
            "telephone_number": "909-980-4954",
            "fax_number": "909-980-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9211 ARCHIBALD AVE",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305207",
            "telephone_number": "909-980-4954",
            "fax_number": "909-980-2455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUCKER",
        "first_name": "JOHN",
        "middle_name": "M.",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "13459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blissful Horizon Foundation Inc
• Celebrity Blockton-Gonzalez, LPCC
• Nicole Elizabeth Blood
• Blossom Care Hospice Inc
• Blossom Psychotherapy and Services
• Blue Medical DME
• Blue Oak Medical Group
• Bluemedplus
• Collins Boampong
• Tiana Bobo

• Chiropractor in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Chiropractor in California

• 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.

Verify at the official NPI Registry.