Individual provider Active NPI

Kenneth James Laux Jr., D.C.

  • Chiropractor
  • Circleville, OH
National Provider Identifier
1053490664
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1853 Issued in OH
Practice address
420 Lancaster Pike
Circleville, OH 43113-9272
Phone
(740) 477-3333
Fax
(740) 477-1100
NPI assigned
Nov 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1853 OH Primary

Addresses

Primary practice location

420 Lancaster Pike
Circleville, OH 43113-9272

Mailing address

P.O. Box 118
420 Lancaster Pike
Circleville, OH 43113
Phone (740) 477-3333

Other identifiers 2

IdentifierTypeStateIssuer
0992458MedicaidOH
000000120411OtherOHANTHEM BC BS PROV ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050517000975 OH Practitioner - Chiropractic 5092754838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

420 Lancaster Pike
Circleville, OH 43113-9272
Phone (740) 477-3333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1853OHMDNutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Kenneth J Laux, Jr, Circleville Chiropractic Center Chiropractor CurrentSince Oct 1, 1994 Accepting new patients
Pickaway Plains Ambulance Service, Inc. PastSince Oct 1, 1994 Accepting new patients

Locations

420 Lancaster Pike
Circleville, OH 43113
Phone (740) 474-7787

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1053490664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 118",
            "address_2": "420 LANCASTER PIKE",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "43113",
            "telephone_number": "740-477-3333",
            "fax_number": "740-477-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 LANCASTER PIKE",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431139272",
            "telephone_number": "740-477-3333",
            "fax_number": "740-477-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUX",
        "first_name": "KENNETH",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0992458",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS PROV ID",
            "identifier": "000000120411",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Circleville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.