Active NPI
Lawrence John Schlosser
- Chiropractor
- Kent, WA
National Provider Identifier
1053432823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00002586
- Practice address
- 25821 104TH Ave SE
Kent, WA 98030-7607 - Phone
- (253) 854-1181
- NPI assigned
- Apr 2, 2007
- 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 | CH00002586 | WA | Primary |
Addresses
Primary practice location
25821 104TH Ave SE
Kent, WA 98030-7607
Mailing address
PO Box 5501
Kent, WA 98064-5501
Phone (253) 854-1181
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SC5413 | Other | WA | REGENCE-BOEING |
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 |
|---|---|---|---|
| CH00002586 | WA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053432823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5501",
"city": "KENT",
"state": "WA",
"postal_code": "980645501",
"telephone_number": "253-854-1181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25821 104TH AVE SE",
"city": "KENT",
"state": "WA",
"postal_code": "980307607",
"telephone_number": "253-854-1181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHLOSSER",
"first_name": "LAWRENCE",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00002586",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE-BOEING",
"identifier": "SC5413",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kent, WA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.