Individual provider Active NPI

Gregory Poma, DC

  • Chiropractor
  • Howell, MI
National Provider Identifier
1619642899
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301011095 Issued in MI
Practice address
107 W Grand River Ave
Howell, MI 48843-2236
Phone
(517) 518-8963
Fax
(517) 518-8735
NPI assigned
Aug 10, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301011095 MI Primary

Addresses

Primary practice location

107 W Grand River Ave
Howell, MI 48843-2236

Mailing address

107 W Grand River Ave
Howell, MI 48843-2236
Phone (517) 518-8963

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Back to Health Physician'S Group, LTD.Group PAC ID 9335137611, 3 clinicians

Practice addresses (Care Compare)

25 W Lincoln Ave
Charleston, IL 61920-3070
Phone (217) 345-9600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Storm Chiropractic, Inc Chiropractor CurrentSince Aug 15, 2021 Accepting new patients
Rooted Chiropractic Canton PLLC Chiropractor CurrentSince Jul 28, 2024 Accepting new patients

Locations

107 W Grand River Ave
Howell, MI 48843
Phone (517) 381-1880

34730 Plymouth Rd
Livonia, MI 48150
Phone (734) 680-8661

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": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1619642899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 W GRAND RIVER AVE",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488432236",
            "telephone_number": "517-518-8963",
            "fax_number": "517-518-8735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W GRAND RIVER AVE",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488432236",
            "telephone_number": "517-518-8963",
            "fax_number": "517-518-8735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMA",
        "first_name": "GREGORY",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301011095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howell, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.