NPIMap

Organization Active NPI

Robyn L. Lawrence DC, PC

  • Chiropractor
  • Ferguson, MO
National Provider Identifier
1003169657
Registry record updated Oct 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006555 Issued in MO
Legal business name
ROBYN L. LAWRENCE DC, PC
Practice address
111 Church St.
Suite 111
Ferguson, MO 63135
Phone
(314) 524-2580
Fax
(314) 524-2596
NPI assigned
Oct 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2012

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

Authorized official

Name
Ms. Jessica M. Henisek
Title
Chiropractic Assistant
Phone
(314) 524-2580

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 006555 MO Primary
Pediatric ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NP0017X

Addresses

Primary practice location

111 Church St.
Suite 111
Ferguson, MO 63135

Mailing address

111 Church St.
Suite 111
Ferguson, MO 63135
Phone (314) 524-2580

Other names 1

  • Ferguson Wellness & Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130918000462 MO Part B Supplier - Clinic/Group Practice 5799929527 Receives reassigned benefits from 2 practitioners
Practice locations: Florissant, MO

National Provider Directory

National Provider Directory

Locations

111 Church St
Ste 111
Ferguson, MO 63135
Phone (314) 524-2580

580 N Highway 67 St
Ste 5
Florissant, MO 63031
Phone (314) 524-2580

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": "1350604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350604800000",
    "number": "1003169657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CHURCH ST.",
            "address_2": "SUITE 111",
            "city": "FERGUSON",
            "state": "MO",
            "postal_code": "63135",
            "telephone_number": "314-524-2580",
            "fax_number": "314-524-2596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CHURCH ST.",
            "address_2": "SUITE 111",
            "city": "FERGUSON",
            "state": "MO",
            "postal_code": "63135",
            "telephone_number": "314-524-2580",
            "fax_number": "314-524-2596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBYN L. LAWRENCE DC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-19",
        "last_updated": "2012-10-19",
        "status": "A",
        "authorized_official_last_name": "HENISEK",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CHIROPRACTIC ASSISTANT",
        "authorized_official_telephone_number": "314-524-2580",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "006555",
            "primary": true
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ferguson Wellness & Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ferguson, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; 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.