Jerome Alexander Longoria, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8710 Issued in AZ

Practice address

3192 N Windsong Dr
Prescott Valley, AZ 86314-2239

Phone

(928) 288-0500

Fax

(928) 432-7003

NPI assigned

Mar 30, 2018

Last updated

Mar 7, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Lifestyle Chiropractic LLC

  • Chiropractor
  • Prescott Valley, AZ
  • NPI 1003313024
  Medicare reassignment NPD
• Lifestyle Wellness LLC

  • Nurse Practitioner
  • Prescott Valley, AZ
  • NPI 1750016192
  NPD
• Wellness Health Associates, P.C.

  dba Carr Chiropractic Clinic

  • Chiropractor
  • Prescott, AZ
  • NPI 1295940187
  NPD (past)

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

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1396241394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3192 N WINDSONG DR",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142239",
            "telephone_number": "928-288-0500",
            "fax_number": "928-432-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3192 N WINDSONG DR",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142239",
            "telephone_number": "928-288-0500",
            "fax_number": "928-432-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGORIA",
        "first_name": "JEROME",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-30",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Lindley
• Kaeden Litchfield
• Dennis L Little, M.D.
• Costin Mihail Lixandru, LMT,MSOM
• Cynthia Gail Long
• Ellen V Lorenz, CFNP
• Kimberly Ann Losey, LCSW
• Bethany L Luce, M.D.
• Dinah Leigh Lunsford
• Yingqiao Luo

• Chiropractor in Prescott Valley, AZ
• Providers in Prescott Valley, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; 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.