Active NPI
Ronald Nomura, LMT, BCTMB, CPMT
- Specialist
- South Lyon, MI
National Provider Identifier
1609221738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 7501000016
- Practice address
- 555 S Lafayette St
South Lyon, MI 48178-1453 - Phone
- (248) 446-2639
- NPI assigned
- Apr 26, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 7501000016 | MI | Primary |
Addresses
Primary practice location
555 S Lafayette St
South Lyon, MI 48178-1453
Mailing address
555 S Lafayette St
South Lyon, MI 48178-1453
Phone (248) 446-2639
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7501000016 | MI | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461628800000",
"number": "1609221738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 S LAFAYETTE ST",
"city": "SOUTH LYON",
"state": "MI",
"postal_code": "481781453",
"telephone_number": "248-446-2639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 S LAFAYETTE ST",
"city": "SOUTH LYON",
"state": "MI",
"postal_code": "481781453",
"telephone_number": "248-446-2639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOMURA",
"first_name": "RONALD",
"credential": "LMT, BCTMB, CPMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-04-26",
"last_updated": "2016-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MI",
"license": "7501000016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Lyon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.