Organization Active NPI

Lauck Chiropractic Health Center Inc.

  • Chiropractor
  • Milford, NJ
National Provider Identifier
1003187154
Registry record updated Jan 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00506500 Issued in NJ
Legal business name
LAUCK CHIROPRACTIC HEALTH CENTER INC.
Practice address
740 Milford Warren Glen Rd
Milford, NJ 08848-1647
Phone
(908) 995-0777
Fax
(908) 995-0778
NPI assigned
Jan 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2012

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

Authorized official

Name
Dr. James F. Lauck II, D.C.NPI 1124192026
Title
President
Phone
(908) 995-0777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC00506500 NJ Primary

Addresses

Primary practice location

740 Milford Warren Glen Rd
Milford, NJ 08848-1647

Mailing address

740 Milford Warren Glen Rd
Milford, NJ 08848-1647
Phone (908) 995-0777

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120319000519 NJ Part B Supplier - Clinic/Group Practice 6800056409 Receives reassigned benefits from 1 practitioner
Practice locations: Milford, NJ

National Provider Directory

National Provider Directory

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": "1327104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327104000000",
    "number": "1003187154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 MILFORD WARREN GLEN RD",
            "city": "MILFORD",
            "state": "NJ",
            "postal_code": "088481647",
            "telephone_number": "908-995-0777",
            "fax_number": "908-995-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 MILFORD WARREN GLEN RD",
            "city": "MILFORD",
            "state": "NJ",
            "postal_code": "088481647",
            "telephone_number": "908-995-0777",
            "fax_number": "908-995-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUCK CHIROPRACTIC HEALTH CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-21",
        "last_updated": "2012-01-21",
        "status": "A",
        "authorized_official_last_name": "LAUCK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-995-0777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00506500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, NJ

Sources for this page

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