Individual provider Active NPI

Lauran Lawheadhoffman, DC

  • Chiropractor
  • Missouri Valley, IA
National Provider Identifier
1083752406
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
AO6168 Issued in IA
Practice address
504 E Erie St
Missouri Valley, IA 51555-1647
Phone
(712) 642-5023
Fax
(712) 642-4605
NPI assigned
Feb 1, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X AO6168 IA Primary

Addresses

Primary practice location

504 E Erie St
Missouri Valley, IA 51555-1647

Mailing address

504 E Erie St
Missouri Valley, IA 51555-1647
Phone (712) 642-5023

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
AO6168IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Healthquest Chiropractic and Wellness Center PC Chiropractor PastSince Feb 1, 1999 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083752406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 E ERIE ST",
            "city": "MISSOURI VALLEY",
            "state": "IA",
            "postal_code": "515551647",
            "telephone_number": "712-642-5023",
            "fax_number": "712-642-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 E ERIE ST",
            "city": "MISSOURI VALLEY",
            "state": "IA",
            "postal_code": "515551647",
            "telephone_number": "712-642-5023",
            "fax_number": "712-642-4605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWHEADHOFFMAN",
        "first_name": "LAURAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "AO6168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri Valley, IA

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.

Verify at the official NPI Registry.