DR. JEROME ALEXANDER LONGORIA (NPI# 1396241394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396241394 |
| Entity Type | Individual |
| Full Name | DR. JEROME ALEXANDER LONGORIA |
| Credential | DC |
| Practice Address |
142 N. Rush St Prescott AZ 86301 |
| Mailing Address |
6369 E Andover Ln Prescott Valley AZ 86314-9233 |
| Practice Telephone | 6024006106 |
| Mailing Telephone | 6024006106 |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2018-03-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 8710 | AZ | Chiropractic Providers |
| Street Address |
142 N. RUSH ST |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102350 | Dove Marie Gundermann | Specialist/Technologist | 300 W. Gurley St, Prescott, AZ 86301 | 2020-07-30 |
| 1639712110 | Arizona Orthopedic Physical Therapy, Pllc | Clinic/Center | 1781 E State Highway 69, Suite 28, Prescott, AZ 86301 | 2019-10-28 |
| 1538714092 | Prescott Complete Care | Family Medicine | 1947 Commerce Center Circle, Suite A, Prescott, AZ 86301 | 2019-08-01 |
| 1336612571 | Sarah Elizabeth Elliott | Registered Nurse | 500 Az 89, Prescott, AZ 86301 | 2019-01-10 |
| 1912484270 | Asya Ruth Perkins | Counselor | 225 Grove Avenue, Prescott, AZ 86301 | 2018-07-19 |
| 1619487675 | Yavapai Healthcare Group LLC | Nurse Practitioner | 999 Division Street, Prescott, AZ 86301 | 2017-10-04 |
| 1053835843 | United States Veterans Initiative | Counselor | 917 E Gurley St, Prescott, AZ 86301 | 2017-08-02 |
| 1164896999 | Spitler - Lilley, LLC | Hearing Instrument Specialist | 1781 E. State Rte 69, Suite 65, Prescott, AZ 86301 | 2015-11-17 |
| 1275925265 | Oral and Facial Surgery Center of Prescott | Dentist | 5415 Distiction Way, Prescott, AZ 86301 | 2015-02-27 |
| 1841680121 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 3911 Hwy 69, Prescott, AZ 86301 | 2015-01-26 |
| Find all providers in zip 86301 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003313024 | Lifestyle Chiropractic LLC | Chiropractor | 142 N Rush St Ste 1, Prescott, AZ 86301-3225 | 2018-04-06 |
| 1457853665 | Tiffany Lynn Nichole John | Chiropractor | 142 N Rush St, Ste 1, Prescott, AZ 86301-3225 | 2018-03-03 |
| 1730627514 | Carl Manuel Calabrese | Chiropractor | 716 Saint Croix St, Prescott, WI 54021-1445 | 2017-02-01 |
| 1609262096 | Robert Boehland | Chiropractor | 2225 E State Route 69, Suite A, Prescott, AZ 86301-5657 | 2015-04-13 |
| 1528367521 | Donald Burton Schueller | Chiropractor | 219 Broad St N, Prescott, WI 54021-1703 | 2011-03-16 |
| 1760710453 | Advanced Chiropractic Center, Inc. | Chiropractor | 728 N Montezuma St Ste A, Prescott, AZ 86301-2090 | 2009-11-18 |
| 1609102359 | Justin Boyce Bryce | Chiropractor | 119 Garden St, Suite C, Prescott, AZ 86305-2913 | 2009-10-29 |
| 1225278286 | Steven M. Teagarden | Chiropractor | 119 Grove Ave, Suite D, Prescott, AZ 86301-2902 | 2009-03-03 |
| 1770766214 | Mark Edward Miller I | Chiropractor | 240 S Montezuma St Ste 204, Prescott, AZ 86303-4787 | 2007-12-06 |
| 1164604914 | Nevin Chiropractic Sc | Chiropractor | 1380 N Acres Rd Ste A, Prescott, WI 54021-7039 | 2007-12-04 |
| Find all providers in PRESCOTT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.