Individual provider Active NPI

Nathan Ellis Lorenz, D.C.

  • Chiropractor
  • Gahanna, OH
National Provider Identifier
1114056678
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3795 Issued in OH
Practice address
1251 N Hamilton Rd
Gahanna, OH 43230-6785
Phone
(614) 475-1900
Fax
(614) 475-1920
NPI assigned
Mar 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3795 OH Primary

Addresses

Primary practice location

1251 N Hamilton Rd
Gahanna, OH 43230-6785

Mailing address

1251 N Hamilton Rd
Gahanna, OH 43230-6785
Phone (614) 475-1900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070607000013 OH Practitioner - Chiropractic 4688772171 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1251 N Hamilton Rd
Gahanna, OH 43230-6785
Phone (614) 475-1900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3795OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Keystone Chiro Center, LLC Chiropractor CurrentSince Jun 1, 2007 Accepting new patients

Locations

1251 N Hamilton Rd
Gahanna, OH 43230
Phone (614) 471-7949

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": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217808000000",
    "number": "1114056678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 N HAMILTON RD",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432306785",
            "telephone_number": "614-475-1900",
            "fax_number": "614-475-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 N HAMILTON RD",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432306785",
            "telephone_number": "614-475-1900",
            "fax_number": "614-475-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORENZ",
        "first_name": "NATHAN",
        "middle_name": "ELLIS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2008-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gahanna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.