DR. CARL L BLOMENKAMP D.C.
NPI 1194881169
Chiropractor in Bolivar, MO

Q: What is Carl Blomenkamp's NPI number?

The NPI number for Carl Blomenkamp is 1194881169. It was assigned to this individual provider in the NPPES registry on December 27, 2006.

Q: What is Carl Blomenkamp's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Carl Blomenkamp was last updated on May 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 27, 2006

2853 W BROADWAY ST, BOLIVAR, MO 65613(417) 326-3888 Get Directions Write a Review

NPPES record last updated: May 3, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Carl L Blomenkamp D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CARL L BLOMENKAMP D.C. (NPI 1194881169) is an individual chiropractor in Bolivar, Missouri, licensed in Missouri (5008) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1194881169

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. CARL L BLOMENKAMPCredential: D.C.

Location Address2853 W BROADWAY STBolivar, MO 65613-3379

Mailing Address2853 W Broadway St, Po Box 16Bolivar, MO 65613-3379 · (417) 326-3888

Phone(417) 326-3888

Sole ProprietorYes

Enumeration DateDecember 27, 2006

Last NPPES UpdateMay 3, 2010

✔ NPI 1194881169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in MO · 5008

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

2853 W BROADWAY ST, Bolivar, MO 65613

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Other Identifiers 3

Medicare UPINT43089MO

Other5008MO · Mo Liscense #

Medicare ID-Type Unspecified000030280MO · Medicare Provider #

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARL L. BLOMENKAMP,D.C.,P.C.

Clinic/Center

2853 W BROADWAY ST
BOLIVAR, MO 65613

Polk County (417) 326-3888

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carl Blomenkamp's NPI number?

The NPI number for Carl Blomenkamp is 1194881169. It was assigned to this individual provider in the NPPES registry on December 27, 2006.

Where is Carl Blomenkamp located?

Carl Blomenkamp practices at 2853 W Broadway St, Bolivar, MO 65613. The listed phone number is (417) 326-3888.

What is Carl Blomenkamp's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Carl Blomenkamp was last updated on May 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.