Individual provider Active NPI

Samuel Paul Lammers, D.C.

  • Chiropractor
  • Okoboji, IA
National Provider Identifier
1154300184
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
A06143 Issued in IA
Practice address
1799 Highway 71 N
Okoboji, IA 51355-2536
Phone
(712) 332-7775
Fax
(712) 332-7772
NPI assigned
Jan 10, 2006
Last updated
Oct 17, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X A06143 IA Primary

Addresses

Primary practice location

1799 Highway 71 N
Okoboji, IA 51355-2536

Mailing address

1799 Hwy 71 North
PO Box 965
Okoboji, IA 51355-2536
Phone (712) 332-7775

Other identifiers 1

IdentifierTypeStateIssuer
0460345MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050907000311 IA Practitioner - Chiropractic 4981647708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1799 Hwy 71 N
Okoboji, IA 51355-2536
Phone (712) 332-7775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Advantage, PC Chiropractor CurrentSince Feb 1, 2009 Accepting new patients
Lammers Family Chiropractic, PC Chiropractor CurrentSince Jul 1, 2005 Accepting new patients

Locations

1799 Highway 71 N
Okoboji, IA 51355
Phone (712) 332-7775

Organizations & group practices 2

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": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192579200000",
    "number": "1154300184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1799 HWY 71 NORTH",
            "address_2": "PO BOX 965",
            "city": "OKOBOJI",
            "state": "IA",
            "postal_code": "513552536",
            "telephone_number": "712-332-7775",
            "fax_number": "712-332-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1799 HIGHWAY 71 N",
            "city": "OKOBOJI",
            "state": "IA",
            "postal_code": "513552536",
            "telephone_number": "712-332-7775",
            "fax_number": "712-332-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMMERS",
        "first_name": "SAMUEL",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2007-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A06143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0460345",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Okoboji, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.