Individual provider Active NPI

Diane Lotten Garman, RN, DC

  • Chiropractor
  • Fairport, NY
National Provider Identifier
1023019148
Registry record updated Sep 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X010725 Issued in NY
Practice address
142 Fairport Village LNDG
Fairport, NY 14450-1804
Phone
(585) 377-5890
Fax
(585) 377-5899
NPI assigned
Aug 10, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 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 X010725 NY Primary

Addresses

Primary practice location

142 Fairport Village LNDG
Fairport, NY 14450-1804

Mailing address

142 Fairport Village LNDG
Fairport, NY 14450-1804
Phone (585) 377-5890

Other identifiers 3

IdentifierTypeStateIssuer
7978493OtherNYAETNA
657961OtherNYACN
C10725-2 WOtherNYWORKER'S COMP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071116000237 NY Practitioner - Chiropractic 2668560137 Practice locations: Fairport, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

142 Fairport Village Landing
Fairport, NY 14450-1804

142 Fairport Village LNDG
Fairport, NY 14450-1804
Phone (585) 377-5890

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
X010725NYMDChiropractor
010725NYMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190332800000",
    "number": "1023019148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 FAIRPORT VILLAGE LNDG",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144501804",
            "telephone_number": "585-377-5890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 FAIRPORT VILLAGE LNDG",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144501804",
            "telephone_number": "585-377-5890",
            "fax_number": "585-377-5899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARMAN",
        "first_name": "DIANE",
        "middle_name": "LOTTEN",
        "name_prefix": "Dr.",
        "credential": "RN, DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-10",
        "last_updated": "2007-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7978493",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "657961",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKER'S COMP",
            "identifier": "C10725-2 W",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.