William Robert Lansford, D.C.
Individual provider Active NPI Chiropractor · Needles, CA
NPI 1104050202 · NPPES record last updated Jun 10, 2009
Key facts
- NPI
- 1104050202
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC24158 (CA)
- Practice address
- 1050 E Broadway St
Needles, CA 92363-3815 - Phone
- (760) 326-4414
- Fax
- (760) 326-4419
- NPI assigned
- May 5, 2009
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Los Angeles, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1050 E Broadway
Needles, CA 92363-3815
1050 E Broadway St
Needles, CA 92363-3815
Phone (760) 326-4414
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101210000167 | CA | Practitioner - Chiropractic | 4385831726 | Practice locations: Needles, CA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC24158 | CA | MD | Chiropractor |
| 24158 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| River Cities Health Services Inc. | Chiropractor | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC24158 | CA | Yes |
Addresses
Primary practice location
1050 E Broadway St
Needles, CA 92363-3815
Mailing address
1050 E Broadway St
Needles, CA 92363-3815
Phone (760) 326-4414
Other providers in Needles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.