Organization Active NPI

Louca Chiropractic PC

  • Chiropractor
  • North Bellmore, NY
National Provider Identifier
1922268689
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X007901 Issued in NY
Legal business name
LOUCA CHIROPRACTIC PC
Practice address
1879 Bellmore Ave
North Bellmore, NY 11710-5551
Phone
(516) 221-9336
Fax
(516) 221-8842
NPI assigned
Jun 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Dr. Onisis Louca, DCNPI 1003931718
Title
Ceo/Doctor
Phone
(516) 221-9336

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X007901 NY Primary

Addresses

Primary practice location

1879 Bellmore Ave
North Bellmore, NY 11710-5551

Mailing address

1879 Bellmore Ave
North Bellmore, NY 11710-5551
Phone (516) 221-9336

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080616000157 NY Part B Supplier - Clinic/Group Practice 2961573126 Receives reassigned benefits from 1 practitioner
Practice locations: North Bellmore, NY

National Provider Directory

National Provider Directory

Locations

1879 Bellmore Ave
North Bellmore, NY 11710
Phone (516) 221-3996

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1922268689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1879 BELLMORE AVE",
            "city": "NORTH BELLMORE",
            "state": "NY",
            "postal_code": "117105551",
            "telephone_number": "516-221-9336",
            "fax_number": "516-221-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1879 BELLMORE AVE",
            "city": "NORTH BELLMORE",
            "state": "NY",
            "postal_code": "117105551",
            "telephone_number": "516-221-9336",
            "fax_number": "516-221-8842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUCA CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "LOUCA",
        "authorized_official_first_name": "ONISIS",
        "authorized_official_title_or_position": "CEO/DOCTOR",
        "authorized_official_telephone_number": "516-221-9336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X007901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bellmore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.