Active NPI
Alyssa Loney
- Chiropractor
- Prudenville, MI
National Provider Identifier
1245610823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301010329
- Practice address
- 1223 W Houghton Lake Dr
Prudenville, MI 48651-9701 - Phone
- (989) 366-4646
- Fax
- (989) 366-4647
- NPI assigned
- Jun 9, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301010329 | MI | Primary |
Addresses
Primary practice location
1223 W Houghton Lake Dr
Prudenville, MI 48651-9701
Mailing address
1223 W Houghton Lake Dr
Prudenville, MI 48651-9701
Phone (989) 366-4646
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1223 W Houghton Lake Dr
Prudenville, MI 48651-9701
Phone (989) 366-4646
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2301010329 | MI | MD | Chiropractor |
Organizations & group practices 1
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.
-
- Chiropractor
- Prudenville, MI
- NPI 1497208284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433808000000",
"number": "1245610823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1223 W HOUGHTON LAKE DR",
"city": "PRUDENVILLE",
"state": "MI",
"postal_code": "486519701",
"telephone_number": "989-366-4646",
"fax_number": "989-366-4647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1223 W HOUGHTON LAKE DR",
"city": "PRUDENVILLE",
"state": "MI",
"postal_code": "486519701",
"telephone_number": "989-366-4646",
"fax_number": "989-366-4647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONEY",
"first_name": "ALYSSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-09",
"last_updated": "2015-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301010329",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prudenville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; 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.