Individual provider Active NPI

Jessica E. Loda, D.C.

  • Chiropractor
  • Ithaca, NY
National Provider Identifier
1598836140
Registry record updated Apr 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X010724-1 Issued in NY
Practice address
726 Willow Ave
Ithaca, NY 14850-3215
Phone
(607) 256-0641
NPI assigned
Nov 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 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 X010724-1 NY Primary

Addresses

Primary practice location

726 Willow Ave
Ithaca, NY 14850-3215

Mailing address

726 Willow Ave
Ithaca, NY 14850-3215
Phone (607) 256-0641

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070410000593 NY Practitioner - Chiropractic 2860597408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

329 S Geneva St
Ithaca, NY 14850-5417
Phone (607) 256-0641

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X010724-1NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Inspired Health Chiropractic & Wellness PLLC Chiropractor CurrentSince Aug 25, 2006 Accepting new patients
Jaclyn Borza Maher, D.C., PLLC Chiropractor Past Accepting new patients

Locations

329 S Geneva St
Ithaca, NY 14850
Phone (607) 256-0641

726 Willow Ave
Ithaca, NY 14850
Phone (607) 256-0641

Organizations & group practices 2

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": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428796800000",
    "number": "1598836140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 WILLOW AVE",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148503215",
            "telephone_number": "607-256-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 WILLOW AVE",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148503215",
            "telephone_number": "607-256-0641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LODA",
        "first_name": "JESSICA",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2015-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010724-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

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