Active NPI
David J. Loney, C.P., B.O.C.(O)
- Prosthetist
- Lebanon, NH
National Provider Identifier
1558470740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- Practice address
- 190 Hanover St Ste 3a
Lebanon, NH 03766-1020 - Phone
- (603) 252-6561
- Fax
- (603) 443-9972
- NPI assigned
- Aug 30, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | |||
| Prosthetic/Orthotic Supplier | 335E00000X | |||
| Prosthetist | 224P00000X | Primary |
Addresses
Primary practice location
190 Hanover St Ste 3a
Lebanon, NH 03766-1020
Mailing address
190 Hanover St Ste 3a
Lebanon, NH 03766-1020
Phone (603) 381-6561
Other practice location 1
190 Hanover St
Lebanon, NH 03766-1020
Phone (603) 448-0070
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3076932 | Medicaid | NH | |
| 1005350 | Medicaid | VT |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599696000000",
"number": "1558470740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 HANOVER ST STE 3A",
"city": "LEBANON",
"state": "NH",
"postal_code": "037661020",
"telephone_number": "603-381-6561",
"fax_number": "603-443-9972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 HANOVER ST STE 3A",
"city": "LEBANON",
"state": "NH",
"postal_code": "037661020",
"telephone_number": "603-252-6561",
"fax_number": "603-443-9972"
}
],
"practiceLocations": [
{
"address_1": "190 Hanover St",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "NH",
"postal_code": "037661020",
"country_code": "US",
"telephone_number": "603-448-0070",
"fax_number": "603-443-9972",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LONEY",
"first_name": "DAVID",
"middle_name": "J.",
"credential": "C.P., B.O.C.(O)",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2020-09-10",
"certification_date": "2020-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": null,
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3076932",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1005350",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.