Individual provider Active NPI

Lori Linette Antman

  • Chiropractor
  • Galveston, TX
National Provider Identifier
1629102231
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC4392 Issued in TX
Practice address
4623 Fort Crockett Blvd
Galveston, TX 77551-5962
Phone
(409) 762-7646
NPI assigned
Mar 15, 2007
Last updated
Nov 21, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC4392 TX Primary

Addresses

Primary practice location

4623 Fort Crockett Blvd
Galveston, TX 77551-5962

Mailing address

4623 Fort Crockett Blvd
Galveston, TX 77551-5962
Phone (409) 935-4467

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120405000710 TX Practitioner - Chiropractic 0446411102 Practice locations: Galveston, TX

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1978
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4623 Fort Crockett Blvd
Galveston, TX 77551-5962
Phone (409) 762-7646

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4392TXMDBehavioral Analyst
DC4392TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Island Health Center, P.a. PastSince Apr 1, 1998 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479686400000",
    "number": "1629102231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4623 FORT CROCKETT BLVD",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775515962",
            "telephone_number": "409-935-4467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4623 FORT CROCKETT BLVD",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775515962",
            "telephone_number": "409-762-7646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTMAN",
        "first_name": "LORI",
        "middle_name": "LINETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2016-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC4392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; 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.