Gary D Longshore, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH3400 Issued in WA

Practice address

12044 Bald Hill Rd SE
Yelm, WA 98597-9664

Phone

(360) 943-4113

Fax

(360) 455-4112

NPI assigned

Mar 2, 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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1336277078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12044 BALD HILL RD SE",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985979664",
            "telephone_number": "360-458-9812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12044 BALD HILL RD SE",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985979664",
            "telephone_number": "360-943-4113",
            "fax_number": "360-455-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGSHORE",
        "first_name": "GARY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH3400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I ID NUMBER",
            "identifier": "188260",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN ACCOUNT NUMBER",
            "identifier": "609947",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dean V Linville, R.PH
• Living Well Chiropractic Inc. PC.
• Living Well Chiropractic, Inc
• Julie Lobrie, LMP
• Caitlyn Long, DPT
• Joanna Lopez, DPT
• Lopaka Thanh Son Los Banos
• Lukela Los Banos
• Jennifer R Lovejoy, LMP
• Jonathan Charles Ramos Lu, DBH, MCHES, ACE-CHC

• Chiropractor in Yelm, WA
• Providers in Yelm, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.