Lane S. Bauer, D.C.
Individual provider Active NPI Chiropractor · Las Cruces, NM
NPI 1124179205 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1124179205
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 972 (NM)
- Practice address
- 1265 S Main St
Las Cruces, NM 88005-3122 - Phone
- (505) 524-4494
- Fax
- (505) 523-2526
- NPI assigned
- Jan 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1265 S Main St
Las Cruces, NM 88005-3122
Phone (575) 642-3769
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121009000475 | NM | Practitioner - Chiropractic | 6800045758 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bauer Chiropractic PC | Chiropractor | Current |
Accepting new patients |
Locations
1265 S Main St
Las Cruces, NM 88005
Phone (505) 524-4494
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 972 | NM | Yes |
Addresses
Primary practice location
1265 S Main St
Las Cruces, NM 88005-3122
Mailing address
1265 S Main St
Las Cruces, NM 88005-3122
Other providers in Las Cruces, NM
- Bat Ray Inpatient Services LLC
- Donna Bateman
- Sabina Batista
- Bauer Chiropractic PC
- Brent Alan Bauer
- Jared Bauerle
- Liza Marie Bauman
- Sheri Bauman
- Harri Baumann
- Emmaruth Bautista
All providers in Las Cruces, NM · Chiropractor in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.