Active NPI
Lawrence Edward McCallum, D.C.
- Chiropractor
- Columbia Heights, MN
National Provider Identifier
1114069655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2283
- Practice address
- 4911 Central Ave NE
Columbia Heights, MN 55421-1912 - Phone
- (763) 572-2322
- Fax
- (763) 572-2322
- NPI assigned
- Feb 13, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2283 | MN | Primary |
Addresses
Primary practice location
4911 Central Ave NE
Columbia Heights, MN 55421-1912
Mailing address
4911 Central Ave NE
Columbia Heights, MN 55421-1912
Phone (763) 572-2322
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McCallum Chiropractic Inc. | Chiropractor | Past | 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 and National Provider Directory roles.
-
- Chiropractor
- Columbia Heights, MN
- NPI 1417228214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323993600000",
"number": "1114069655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4911 CENTRAL AVE NE",
"city": "COLUMBIA HEIGHTS",
"state": "MN",
"postal_code": "554211912",
"telephone_number": "763-572-2322",
"fax_number": "763-572-2322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4911 CENTRAL AVE NE",
"city": "COLUMBIA HEIGHTS",
"state": "MN",
"postal_code": "554211912",
"telephone_number": "763-572-2322",
"fax_number": "763-572-2322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCALLUM",
"first_name": "LAWRENCE",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-13",
"last_updated": "2011-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "2283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia Heights, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.