Individual provider Active NPI

Dirk Eron Luoma, DC

  • Chiropractor
  • Eureka, CA
National Provider Identifier
1942365093
Registry record updated Sep 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC0257480 Issued in CA
Practice address
2300 Myrtle Ave
Suite B
Eureka, CA 95501-3328
Phone
(707) 443-0695
Fax
(707) 443-0778
NPI assigned
Dec 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 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 DC0257480 CA Primary

Addresses

Primary practice location

2300 Myrtle Ave
Suite B
Eureka, CA 95501-3328

Mailing address

2300 Myrtle Ave
Suite B
Eureka, CA 95501-3328
Phone (707) 443-0695

Other identifiers 1

IdentifierTypeStateIssuer
DC0257480OtherCACALIFORNIA STATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090616000731 CA Practitioner - Chiropractic 4789752338 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Griffith Luoma ChiropracticGroup PAC ID 2062580616, 2 clinicians

Practice addresses (Care Compare)

2300 Myrtle Ave
Suite B
Eureka, CA 95501-3328
Phone (707) 443-0695

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC0257480CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Griffith Luoma Chiropractic Chiropractor CurrentSince Sep 11, 1998 Accepting new patients

Locations

2300 Myrtle Ave
Ste B
Eureka, CA 95501
Phone (707) 443-0695

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474502400000",
    "number": "1942365093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 MYRTLE AVE",
            "address_2": "SUITE B",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013328",
            "telephone_number": "707-443-0695",
            "fax_number": "707-443-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 MYRTLE AVE",
            "address_2": "SUITE B",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013328",
            "telephone_number": "707-443-0695",
            "fax_number": "707-443-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUOMA",
        "first_name": "DIRK",
        "middle_name": "ERON",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2016-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC0257480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA STATE LICENSE",
            "identifier": "DC0257480",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

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