Individual provider Active NPI

Jonathan Romeo Lo, D.C.

  • Chiropractor
  • Hartland, WI
National Provider Identifier
1770522336
Registry record updated Jul 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3876-0012 Issued in WI
Practice address
520 Hartbrook Dr
Suite H
Hartland, WI 53029-1402
Phone
(262) 369-7900
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3876-0012 WI Primary

Addresses

Primary practice location

520 Hartbrook Dr
Suite H
Hartland, WI 53029-1402

Mailing address

520 Hartbrook Dr
Suite H
Hartland, WI 53029-1402
Phone (262) 369-7900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060411000317 WI Practitioner - Chiropractic 9335158898 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

520 Hartbrook Dr
Suite H
Hartland, WI 53029-1405
Phone (262) 369-7900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3876-0012WIMDChiropractor
6639GAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Chiropractic and Wellness Chiropractor CurrentSince Jun 15, 2006 Accepting new patients
Integrative Medical and Wellness, LLC CurrentSince Dec 12, 2019 Accepting new patients
Believe Corporation Chiropractor Past Accepting new patients
Cross Plains Family Chiropractic Chiropractor Past Accepting new patients

Locations

520 Hartbrook Dr
Ste H
Hartland, WI 53029
Phone (262) 367-7900

520 Hartbrook Dr
Unit H
Hartland, WI 53029
Phone (262) 369-7900

Organizations & group practices 4

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374451200000",
    "number": "1770522336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 HARTBROOK DR",
            "address_2": "SUITE H",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530291402",
            "telephone_number": "262-369-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 HARTBROOK DR",
            "address_2": "SUITE H",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530291402",
            "telephone_number": "262-369-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LO",
        "first_name": "JONATHAN",
        "middle_name": "ROMEO",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2013-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3876-0012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartland, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; 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.