Harlan Lance Dye, D.C.
Individual provider Active NPI Chiropractor · Camdenton, MO
NPI 1023170644 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1023170644
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- CEOO6520 (MO)
- Practice address
- 41 Camden Court Southwest
Camdenton, MO 65020-0560 - Phone
- (573) 346-2335
- Fax
- (573) 346-2334
- NPI assigned
- Dec 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Kansas City, 1996
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Mader-Dye Chiropractic Health Center, Inc.
Practice addresses (Care Compare)
41 Camden Court SW
Lake of the Ozarks Chiropractic Center
Camdenton, MO 65020-7372
Phone (573) 346-2335
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120106000674 | MO | Practitioner - Chiropractic | 2062687296 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CEOO6520 | MO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mader-Dye Chiropractic Health Center, Inc, | Chiropractor | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CEOO6520 | MO | Yes |
Addresses
Primary practice location
41 Camden Court Southwest
Camdenton, MO 65020-0560
Mailing address
41 Camden Court Southwest
P.O. Box 560
Camdenton, MO 65020-0560
Phone (573) 346-2335
Other names
- Lance Dye
Other providers in Camdenton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.