Nicholas Loan, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

004727 Issued in NY

Practice address

335 Elm St
Penn Yan, NY 14527-1409

Phone

(315) 536-8124

Fax

(315) 536-6728

NPI assigned

Mar 1, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003944810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 ELM ST",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "145271409",
            "telephone_number": "315-536-8124",
            "fax_number": "315-536-6728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 ELM ST",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "145271409",
            "telephone_number": "315-536-8124",
            "fax_number": "315-536-6728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOAN",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NY",
            "license": "004727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "004727",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles J Lilly III, M.D.
• Regina Zvitkovitz Lilly, MD
• Norman William Lindenmuth, MD
• Mildred E Litsche
• Loan Chiropractic, PLLC
• Amy Marie Lockwood, RPH
• Richard Joseph Lonski III, PHARM.D
• Edith K. Mann, LCSW
• Rebecca Martin, NP
• Robert Michael Mason, R.PH.

• Sports Physician Chiropractor in Penn Yan, NY
• Providers in Penn Yan, NY by specialty
• Sports Physician Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.