NPIMap

Organization Active NPI

Blume Family Chiropractic & Massage, Inc

Doing business as Blume Healing Center

  • Chiropractor
  • Centralia, WA
National Provider Identifier
1982876330
Registry record updated Jul 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BLUME FAMILY CHIROPRACTIC & MASSAGE, INC
Doing business as
Blume Healing Center
Practice address
1611 Kresky Ave Ste 108
Centralia, WA 98531-8982
Phone
(360) 330-1800
Fax
(360) 330-5866
NPI assigned
Mar 26, 2008
Last updated
Jul 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2014

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

Authorized official

Name
Joshua D Blume, DCNPI 1528236577
Title
President
Phone
(360) 330-1800

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary
Acupuncturist 171100000X NU
Naturopath 175F00000X NU
Massage Therapist 225700000X NU

Addresses

Primary practice location

1611 Kresky Ave Ste 108
Centralia, WA 98531-8982

Mailing address

1611 Kresky Ave, Suite108
Centralia, WA 98531-8982
Phone (360) 330-1800

Other identifiers 1

IdentifierTypeStateIssuer
0254923OtherWAWASHINGTON STATE DEPT OF LABOR & INDUSTRIES

Other names 1

  • Blume Healing Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080424000522 WA Part B Supplier - Clinic/Group Practice 6002994423 Receives reassigned benefits from 2 practitioners
Practice locations: Centralia, WA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1982876330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 KRESKY AVE, SUITE108",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985318982",
            "telephone_number": "360-330-1800",
            "fax_number": "360-330-5866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 KRESKY AVE STE 108",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985318982",
            "telephone_number": "360-330-1800",
            "fax_number": "360-330-5866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUME FAMILY CHIROPRACTIC & MASSAGE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-26",
        "last_updated": "2014-07-02",
        "status": "A",
        "authorized_official_last_name": "BLUME",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-330-1800",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE DEPT OF LABOR & INDUSTRIES",
            "identifier": "0254923",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blume Healing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Centralia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.