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Deactivated NPI 1770906182 Deactivated / Inactive NPI Female Practitioner

Dr. Amber Bloom , DC

Chiropractor • Houston, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Amber Bloom has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 22, 2014
NPI Deactivation Date February 11, 2026
Total Practice Duration ~12 Years of Practice (2014 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Amber Bloom, DC was a registered Chiropractor practicing in Houston, TX. Throughout an active medical career spanning 12 years, Dr. Bloom provided care at the practice location at 4120 SOUTHWEST FWY STE 230 until profile deactivation on 2026-02-11.

Practice Location & Contact Primary Location

Practice Address

4120 Southwest Fwy Ste 230

Houston, TX 770277327

Telephone 7133416206
Associated Practice Facility / Clinic
🏢 Bayside Surgical Center Facility NPI 1164612404

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Houston, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.7 Yrs
State Avg: 22.3 Yrs
Regional Practice Density
785 Specialists

Practicing in Houston, TX (7266 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License TX 12513

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Shakespeare Acevedo Perez , SA-C

Physician Assistant - Surgical

NPI 1013764661

SAC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

19 Historical Events
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NPI Profile Deactivated February 11, 2026

Record deactivated on February 11, 2026

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Updated Business Mailing Address January 27, 2026

Registered at 2525 DATE ST APT 4004, HONOLULU, HI 96826 (Tel: 8088610494)

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2026

Chiropractor (License #DC1575 in HI)

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Updated Practice Location December 03, 2025

Registered at 2525 DATE ST APT 4004, HONOLULU, HI 968265434 (Tel: 8088610494)

📍
Updated Business Mailing Address December 03, 2025

Registered at 2525 DATE ST APT 4004, HONOLULU, HI 968265434 (Tel: 8088610494)

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 03, 2025

Chiropractor (License #DC-1575 in HI)

📍
Updated Practice Location September 17, 2020

Registered at 9045 JEFFERSON HIGHWAY, RIVER RIDGE, LA 70123 (Tel: 5042249678)

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Updated Business Mailing Address September 17, 2020

Registered at 3436 MAGAZINE ST # 7109, NEW ORLEANS, LA 701152413 (Tel: 5042249678)

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Updated Practice Location November 26, 2019

Registered at 1615 POYDRAS ST STE 900, NEW ORLEANS, LA 70112 (Tel: 5042249678)

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Updated Business Mailing Address November 26, 2019

Registered at 1615 POYDRAS ST STE 900, NEW ORLEANS, LA 701121282 (Tel: 5042249678)

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Updated Practice Location March 20, 2018

Registered at 141 ROBERT E LEE BLVD, NEW ORLEANS, LA 701242534 (Tel: 5045174946)

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Updated Business Mailing Address March 20, 2018

Registered at 141 ROBERT E LEE BLVD, NEW ORLEANS, LA 701242534 (Tel: 5045174946)

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2018

Chiropractor (License #1788 in LA)

NPI Profile Active February 26, 2016

NPI status registered as active in NPPES database

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Updated Practice Location February 26, 2016

Registered at 4120 SOUTHWEST FWY STE 230, HOUSTON, TX 770277327 (Tel: 7133416206)

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Updated Business Mailing Address February 26, 2016

Registered at 4061 BELLAIRE BLVD, A, HOUSTON, TX 770251121 (Tel: 8329302261)

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Provider Name / Credentials Updated February 26, 2016

Recorded as AMBER BLOOM, D.C.

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 26, 2016

Chiropractor (License #12513 in TX)

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Initial NPI Registration & Enumeration January 22, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1770906182
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 22, 2014
Last Update: February 26, 2016
Deactivation Date: February 11, 2026

Mailing Address

4061 Bellaire Blvd, A

Houston, TX 770251121

Phone: 8329302261

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.