Edward Joseph Lauterbach, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104001713 Issued in VA

Practice address

202 Turkeysag TRL
Suite 5
Palmyra, VA 22963-2656

Phone

(434) 591-0900

NPI assigned

Feb 6, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ejl DCH Inc

  dba Lauterbach Chiropractic & Acupuncture

  • Chiropractor
  • Palmyra, VA
  • NPI 1396757357
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053383802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 TURKEYSAG TRL",
            "address_2": "SUITE 5",
            "city": "PALMYRA",
            "state": "VA",
            "postal_code": "229632656",
            "telephone_number": "434-591-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 TURKEYSAG TRL",
            "address_2": "SUITE 5",
            "city": "PALMYRA",
            "state": "VA",
            "postal_code": "229632656",
            "telephone_number": "434-591-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUTERBACH",
        "first_name": "EDWARD",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "462512",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Kryachkova, RDN, LD
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• Lake Chiropractic, PC
• Marion Henson Lamb, RN, IBCLC
• Lucy Ricardo Larsen, L.AC.
• Karen Lauzon, RD
• Lonnell Fericl Lewis
• Looking Glass Therapy, PLLC
• Kathleen Lovell, DPT
• Lucy Hill Services

• Chiropractor in Palmyra, VA
• Providers in Palmyra, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.