Individual provider Active NPI

Greg Loman, D.C.

  • Chiropractor
  • Naples, FL
National Provider Identifier
1013061191
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0006336 Issued in FL
Practice address
2515 Northbrooke Plaza Dr
Suite 102
Naples, FL 34119-8088
Phone
(239) 597-6099
Fax
(239) 597-6987
NPI assigned
Jan 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH0006336 FL Primary

Addresses

Primary practice location

2515 Northbrooke Plaza Dr
Suite 102
Naples, FL 34119-8088

Mailing address

2515 Northbrooke Plaza Dr
Suite 102
Naples, FL 34119-8088
Phone (239) 597-6099

Other identifiers 1

IdentifierTypeStateIssuer
22685OtherFLBLUE CROSS BLUE SHEILD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH0006336FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Maximized Living Foundation, Inc Chiropractor PastSince Feb 2, 2005 Accepting new patients
Shock Chiropractic Group PLLC Chiropractor PastSince Dec 1, 2017 Accepting new patients
Walker Chiropractic Chiropractor Past Accepting new patients

Networks

  • FL HMO C-SNP
  • FL HMO D-SNP
  • FL HMO
  • devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
  • devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
  • AL HMO
  • AL HMO D-SNP
  • FL PPO
  • devoted network organization-14bfd35d-d818-4696-813b-340339e464ef

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22143/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013061191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 NORTHBROOKE PLAZA DR",
            "address_2": "SUITE 102",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341198088",
            "telephone_number": "239-597-6099",
            "fax_number": "239-597-6987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 NORTHBROOKE PLAZA DR",
            "address_2": "SUITE 102",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341198088",
            "telephone_number": "239-597-6099",
            "fax_number": "239-597-6987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMAN",
        "first_name": "GREG",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0006336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "22685",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • 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.