Individual provider Active NPI

Lance Jarrod Loomis, D.C.

  • Chiropractor
  • Baltimore, MD
National Provider Identifier
1457540643
Registry record updated Nov 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S03531 Issued in MD
Practice address
9403 Harford Rd
Suite 1
Baltimore, MD 21234-3123
Phone
(410) 882-0720
Fax
(410) 882-6767
NPI assigned
Oct 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X S03531 MD Primary

Addresses

Primary practice location

9403 Harford Rd
Suite 1
Baltimore, MD 21234-3123

Mailing address

9403 Harford Rd
Suite 1
Baltimore, MD 21234-3123
Phone (410) 882-0720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091021000707 MD Practitioner - Chiropractic 9830236900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8109 Harford Rd
Parkville, MD 21234-9205
Phone (410) 882-0720

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Spring Back Chiropractic PA Chiropractor CurrentSince Jul 28, 2010 Accepting new patients

Locations

9403 Harford Rd
Ste 1
Parkville, MD 21234
Phone (410) 882-0720

8109 Harford Rd
Ste 3
Parkville, MD 21234
Phone (410) 882-0720

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.

NPI Registry JSON

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447718400000",
    "number": "1457540643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9403 HARFORD RD",
            "address_2": "SUITE 1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212343123",
            "telephone_number": "410-882-0720",
            "fax_number": "410-882-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9403 HARFORD RD",
            "address_2": "SUITE 1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212343123",
            "telephone_number": "410-882-0720",
            "fax_number": "410-882-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOOMIS",
        "first_name": "LANCE",
        "middle_name": "JARROD",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-24",
        "last_updated": "2015-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S03531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.

Verify at the official NPI Registry.