Individual provider Active NPI

Lawrence Stroud Nordhoff Jr., D.C.

  • Chiropractor
  • Pleasanton, CA
National Provider Identifier
1073773909
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
016654 Issued in CA
Practice address
4133 Mohr Ave
Suite F
Pleasanton, CA 94566-4678
Phone
(925) 484-2928
Fax
(925) 484-8443
NPI assigned
Jun 13, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 016654 CA Primary
Independent Medical Examiner Chiropractor 111NI0013X 016654 CA

Addresses

Primary practice location

4133 Mohr Ave
Suite F
Pleasanton, CA 94566-4678

Mailing address

4133 Mohr Ave
Suite F
Pleasanton, CA 94566-4678
Phone (925) 484-2928

Other identifiers 1

IdentifierTypeStateIssuer
123733600OtherDOL

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

LicenseStateTypeSpecialty
016654CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213315200000",
    "number": "1073773909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4133 MOHR AVE",
            "address_2": "SUITE F",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945664678",
            "telephone_number": "925-484-2928",
            "fax_number": "925-484-8443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4133 MOHR AVE",
            "address_2": "SUITE F",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945664678",
            "telephone_number": "925-484-2928",
            "fax_number": "925-484-8443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORDHOFF",
        "first_name": "LAWRENCE",
        "middle_name": "STROUD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-13",
        "last_updated": "2008-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "016654",
            "primary": true
        },
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "CA",
            "license": "016654",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL",
            "identifier": "123733600",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.