Dr. Lance Audirsch PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1257 Issued in AR

Legal business name

DR. LANCE AUDIRSCH PA

Practice address

124 Garland Ave
West Helena, AR 72390-2440

Phone

(870) 572-1500

Fax

(870) 572-7080

NPI assigned

May 8, 2018

Last updated

May 8, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

DR. LANCE AUDIRSCH PAAs reported in NPPES

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

Authorized official

Name

Dr. Lance Audirsch, DCNPI 1235115551

Title

President

Phone

(870) 572-1500

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Part of

Dr Lance Audirsch PA

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Dr. Lance Audirsch

  • Chiropractor
  • West Helena, AR
  • NPI 1669790069
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lance P Audirsch, D.C

  • Chiropractor
  • West Helena, AR
  • NPI 1235115551
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525737600000",
    "number": "1053800797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 GARLAND AVE",
            "city": "WEST HELENA",
            "state": "AR",
            "postal_code": "723902440",
            "telephone_number": "870-572-1500",
            "fax_number": "870-572-7080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 GARLAND AVE",
            "city": "WEST HELENA",
            "state": "AR",
            "postal_code": "723902440",
            "telephone_number": "870-572-1500",
            "fax_number": "870-572-7080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. LANCE AUDIRSCH PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR. LANCE AUDIRSCH PA",
        "enumeration_date": "2018-05-08",
        "last_updated": "2018-05-08",
        "status": "A",
        "authorized_official_last_name": "AUDIRSCH",
        "authorized_official_first_name": "LANCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-572-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128978718",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "59878",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in West Helena, AR
• Providers in West Helena, AR by specialty
• Chiropractor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.