Individual provider Active NPI

Gerald Wayne Homan, D.C.

  • Chiropractor
  • Newport, KY
National Provider Identifier
1528002680
Registry record updated Jan 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5208 Issued in KY
Practice address
52 Carothers Rd
Newport, KY 41071-2456
Phone
(859) 291-2225
Fax
(859) 291-2227
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3094 OH
Chiropractor 111N00000X 5208 KY Primary

Addresses

Primary practice location

52 Carothers Rd
Newport, KY 41071-2456

Mailing address

52 Carothers Rd
Newport, KY 41071-2456
Phone (859) 291-2225

Other identifiers 2

IdentifierTypeStateIssuer
7100127800MedicaidKY
000000752147OtherKYBLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100331000674 KY Practitioner - Chiropractic 2264483957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1701 Monmouth St
Newport, KY 41071-7605
Phone (859) 291-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5208KYMDChiropractor
3094OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Homan Chiropractic Newport PLLC Chiropractor CurrentSince Jun 15, 2018 Accepting new patients
Dr. Nanci L. Allen, DC, PSC, Inc Chiropractor Past Accepting new patients
Better Health Chiropractic Care PSC Chiropractor Past Accepting new patients

Locations

1701 Monmouth St
Newport, KY 41071
Phone (859) 291-2225

52 Carothers Rd
Newport, KY 41071
Phone (859) 291-2225

Organizations & group practices 3

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421020800000",
    "number": "1528002680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 CAROTHERS RD",
            "city": "NEWPORT",
            "state": "KY",
            "postal_code": "410712456",
            "telephone_number": "859-291-2225",
            "fax_number": "859-291-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 CAROTHERS RD",
            "city": "NEWPORT",
            "state": "KY",
            "postal_code": "410712456",
            "telephone_number": "859-291-2225",
            "fax_number": "859-291-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOMAN",
        "first_name": "GERALD",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2015-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3094",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100127800",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000000752147",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.