Active NPI
Kenneth Earl Lawver, D.C.
- Chiropractor
- Manteca, CA
National Provider Identifier
1003901448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 14853
- Practice address
- 130 N Grant Ave
Manteca, CA 95336-4601 - Phone
- (209) 825-5610
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 14853 | CA | Primary |
Addresses
Primary practice location
130 N Grant Ave
Manteca, CA 95336-4601
Mailing address
1292 Devonshire
Manteca, CA 95336
Phone (209) 239-6926
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC0148530 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14853 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242604800000",
"number": "1003901448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1292 DEVONSHIRE",
"city": "MANTECA",
"state": "CA",
"postal_code": "95336",
"telephone_number": "209-239-6926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 N GRANT AVE",
"city": "MANTECA",
"state": "CA",
"postal_code": "953364601",
"telephone_number": "209-825-5610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWVER",
"first_name": "KENNETH",
"middle_name": "EARL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2009-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "14853",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DC0148530",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Manteca, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.