Chanta L Sloma, DACM, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

626-055 Issued in WI

Practice address

217 N 4TH Ave Lowr Level
Sturgeon Bay, WI 54235-2405

Phone

(920) 493-0797

NPI assigned

Jul 9, 2009

Last updated

Nov 21, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Chanta L Van Laanen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1962631127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 SUPERIOR ST",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542351841",
            "telephone_number": "920-493-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 N 4TH AVE LOWR LEVEL",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542352405",
            "telephone_number": "920-493-0797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3313 Packerland Dr Ste D",
            "address_purpose": "LOCATION",
            "city": "DE Pere",
            "state": "WI",
            "postal_code": "541156811",
            "country_code": "US",
            "telephone_number": "920-241-3719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLOMA",
        "first_name": "CHANTA",
        "middle_name": "L",
        "credential": "DACM, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-09",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WI",
            "license": "626-55",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WI",
            "license": "626-055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHANTA",
            "last_name": "VAN LAANEN",
            "middle_name": "L",
            "credential": "LAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Patricia Ann Sigl, D.D.S.
• Peter Sigmann, M.D.
• Mary Belle Simac, B.S.
• Jessica J Skinner, RN, IBCLC
• Schye D Skinner
• Alex N Smithback, D-PT
• Judith Sowl, RDN, CD
• Specialized Services, LLC
• St Vincent Hospital-Hospital Sisters-Third Order of St Francis (Door County Cancer Center)
• St. Clare Memorial Hospital, Inc (HSHS SCO Regional Surgery Center Sturgeon Bay)

• Acupuncturist in Sturgeon Bay, WI
• Providers in Sturgeon Bay, WI by specialty
• Acupuncturist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.