Individual provider Active NPI

Lauren Bowen, DC

  • Chiropractor
  • Charlotte, NC
National Provider Identifier
1124773668
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5418 Issued in NC
Practice address
2935 Providence Rd Ste 204
Charlotte, NC 28211-2763
Phone
(980) 237-4016
NPI assigned
Feb 14, 2022
Sex
Female
Sole proprietor
Yes

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.

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1268 Ridge LN
Belle Plaine, MN 56011-5500

2646 Twin Ponds Path
Mayer, MN 55360-7700

3175 Norwood St
Cuyahoga Falls, OH 44221-1556

PO Box
Suite 686
Chanhassen, MN 55317

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

OrganizationSpecialtyStatusNew patients
Charlotte Sports Performance and Rehab, LLC Chiropractor CurrentSince Feb 24, 2022 Accepting new patients

Locations

2935 Providence Rd
Ste 204
Charlotte, NC 28211
Phone (980) 237-4016

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5418 NC Primary

Addresses

NPPES NPI Registry

Primary practice location

2935 Providence Rd Ste 204
Charlotte, NC 28211-2763

Mailing address

1305 Central Ave Apt 330
Charlotte, NC 28205-5192
Phone (330) 998-4067

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 14, 2022.

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1124773668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 CENTRAL AVE APT 330",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282055192",
            "telephone_number": "330-998-4067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2935 PROVIDENCE RD STE 204",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282112763",
            "telephone_number": "980-237-4016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "LAUREN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-14",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "5418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.