Active NPI
Michael Jerome Loftus, D.C.
- Chiropractor
- Lake Worth, FL
National Provider Identifier
1376682526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH12510
- Practice address
- 5891 S Military TRL Ste 3a
Lake Worth, FL 33463-6920 - Phone
- (561) 967-1950
- NPI assigned
- Feb 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 9567 | TX | |
| Chiropractor | 111N00000X | CH12510 | FL | Primary |
Addresses
Primary practice location
5891 S Military TRL Ste 3a
Lake Worth, FL 33463-6920
Mailing address
118 Greenbriar Dr
Lake Park, FL 33403-2913
Phone (561) 568-1912
Other practice location 1
4614 Matthew Rd
Grand Prairie, TX 75052-1749
Phone (972) 641-2000
Other practice location 2
11211 Prosperity Farms Rd
Palm Beach Gardens, FL 33410-3446
Phone (561) 568-1912
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH12510 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549497600000",
"number": "1376682526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 GREENBRIAR DR",
"city": "LAKE PARK",
"state": "FL",
"postal_code": "334032913",
"telephone_number": "561-568-1912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5891 S MILITARY TRL STE 3A",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334636920",
"telephone_number": "561-967-1950"
}
],
"practiceLocations": [
{
"address_1": "4614 Matthew Rd",
"address_purpose": "LOCATION",
"city": "Grand Prairie",
"state": "TX",
"postal_code": "750521749",
"country_code": "US",
"telephone_number": "972-641-2000",
"fax_number": "972-641-8902",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11211 Prosperity Farms Rd",
"address_purpose": "LOCATION",
"city": "Palm Beach Gardens",
"state": "FL",
"postal_code": "334103446",
"country_code": "US",
"telephone_number": "561-568-1912",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOFTUS",
"first_name": "MICHAEL",
"middle_name": "JEROME",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-05",
"last_updated": "2019-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "9567",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "FL",
"license": "CH12510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Worth, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.