Organization Active NPI

Kenneth J Laux, Jr, Circleville Chiropractic Center

  • Chiropractor
  • Circleville, OH
National Provider Identifier
1083808729
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1853 Issued in OH
Legal business name
KENNETH J LAUX, JR, CIRCLEVILLE CHIROPRACTIC CENTER
Practice address
420 Lancaster Pike
Circleville, OH 43113-9272
Phone
(740) 477-3333
Fax
(740) 477-1100
NPI assigned
Sep 5, 2007
Last updated
Jun 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Dr. Kenneth J Laux Jr., D.C.NPI 1053490664
Title
Chiropractor/Owner
Phone
(740) 477-3333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1853 OH Primary

Addresses

Primary practice location

420 Lancaster Pike
Circleville, OH 43113-9272

Mailing address

420 Lancaster Pike
PO Box 118
Circleville, OH 43113-9272
Phone (740) 477-3333

Other identifiers 5

IdentifierTypeStateIssuer
004548590OtherOHAETNA
087605437009OtherOHMEDICAL MUTUAL
000000120411OtherOHANTHEM
4400075OtherOHUHC
0582392MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050429000915 OH Part B Supplier - Clinic/Group Practice 4284673021 Receives reassigned benefits from 1 practitioner
Practice locations: Circleville, OH

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1083808729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 LANCASTER PIKE",
            "address_2": "PO BOX 118",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431139272",
            "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": {
        "organization_name": "KENNETH J LAUX, JR, CIRCLEVILLE CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "LAUX",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "740-477-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "004548590",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL",
            "identifier": "087605437009",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000120411",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "4400075",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0582392",
            "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 Jun 12, 2008; 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.