Loma Clinic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR008481 Issued in GA

Legal business name

LOMA CLINIC

Practice address

6011 Western Hills Dr
100
Norcross, GA 30071-3483

Phone

(770) 696-7456

NPI assigned

Jan 8, 2010

Organization subpart

No

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

Authorized official

Name

Jooyoung Kim

Title

Ceo

Phone

(770) 696-7456

Specialties & licenses 2

Addresses

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Loma Clinic

  • Chiropractor
  • Duluth, GA
  • NPI 1932466174
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rasean T Hodge, M.D.

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1972543726
  NPD (past)

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

{
    "created_epoch": "1262908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262908800000",
    "number": "1861722183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6011 WESTERN HILLS DR.",
            "address_2": "100",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "30071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6011 WESTERN HILLS DR",
            "address_2": "100",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300713483",
            "telephone_number": "770-696-7456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOMA CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-08",
        "last_updated": "2010-01-08",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JOOYOUNG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-696-7456"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008481",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "054221",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Norcross, GA
• Providers in Norcross, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.