Individual provider Active NPI

Ethan Robert Loft, DC

  • Chiropractor
  • Buffalo, NY
National Provider Identifier
1457021370
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
013510 Issued in NY
Practice address
295 Main St RM 118
Buffalo, NY 14203-2401
Phone
(716) 322-1911
Fax
(716) 322-0361
NPI assigned
Sep 14, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 013510 NY Primary

Addresses

Primary practice location

295 Main St RM 118
Buffalo, NY 14203-2401

Mailing address

295 Main St RM 118
Buffalo, NY 14203-2401
Phone (716) 322-1911

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

LicenseStateTypeSpecialty
013510NYMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1457021370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 MAIN ST RM 118",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142032401",
            "telephone_number": "716-322-1911",
            "fax_number": "716-322-0361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 MAIN ST RM 118",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142032401",
            "telephone_number": "716-322-1911",
            "fax_number": "716-322-0361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOFT",
        "first_name": "ETHAN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-14",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "013510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.