Laurel Hare, D.C.
Individual provider Active NPI Chiropractor · Neodesha, KS
NPI 1154769727 · NPPES record last updated Nov 2, 2023
Key facts
- NPI
- 1154769727
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 01-05522 (KS)
- Practice address
- 808 Main St
Neodesha, KS 66757-1673 - Phone
- (620) 325-4077
- NPI assigned
- Jun 5, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Kansas City, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
808 Main St
Neodesha, KS 66757-1673
Phone (620) 325-4077
810 Main St
Neodesha, KS 66757-1673
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130731000220 | KS | Practitioner - Chiropractic | 3375784556 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01-05522 | KS | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic Connection LLC | Chiropractor | Current |
Accepting new patients |
Locations
810 Main St
Neodesha, KS 66757
Phone (620) 325-4077
808 Main St
Neodesha, KS 66757
Phone (620) 325-4077
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 01-05522 | KS | Yes |
Addresses
Primary practice location
808 Main St
Neodesha, KS 66757-1673
Mailing address
PO Box 261
Neodesha, KS 66757-0261
Phone (620) 325-4077
Other providers in Neodesha, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2023. 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.