NPIMap

Organization Active NPI

Loma Clinic

  • Chiropractor
  • Duluth, GA
National Provider Identifier
1932466174
Registry record updated Apr 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR008481 Issued in GA
Legal business name
LOMA CLINIC
Practice address
3705 Old Norcross Rd
#400
Duluth, GA 30096-4335
Phone
(770) 476-7676
Fax
(770) 476-7679
NPI assigned
Apr 12, 2012
Last updated
Apr 12, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
LOMA CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 12, 2012

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

Authorized official

Name
Dr. Jooyoung Kim, DCNPI 1649315706
Title
Ceo
Phone
(770) 696-7456

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR008481 GA Primary
Acupuncturist 171100000X 236 GA
Family Medicine Physician 207Q00000X 05421 GA

Addresses

Primary practice location

3705 Old Norcross Rd
#400
Duluth, GA 30096-4335

Mailing address

3705 Old Norcross Rd
#400
Duluth, GA 30096-4335
Phone (770) 476-7676

National Provider Directory

National Provider Directory
Part of
Loma Clinic

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1932466174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 OLD NORCROSS RD",
            "address_2": "#400",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300964335",
            "telephone_number": "770-476-7676",
            "fax_number": "770-476-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 OLD NORCROSS RD",
            "address_2": "#400",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300964335",
            "telephone_number": "770-476-7676",
            "fax_number": "770-476-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOMA CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOMA CLINIC",
        "enumeration_date": "2012-04-12",
        "last_updated": "2012-04-12",
        "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",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008481",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "GA",
            "license": "236",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "05421",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; 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.