Individual provider Active NPI

Lauren Richards, D.C.

  • Chiropractor
  • Grand Rapids, MI
National Provider Identifier
1154780583
Registry record updated Feb 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010402 Issued in MI
Practice address
400 68TH St SW
Grand Rapids, MI 49548-7120
Phone
(616) 281-2500
Fax
(616) 281-2502
NPI assigned
Feb 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301010402 MI Primary

Addresses

Primary practice location

400 68TH St SW
Grand Rapids, MI 49548-7120

Mailing address

515 W 15TH St
Traverse City, MI 49684-4424
Phone (231) 590-4027

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170518000981 MI Practitioner - Chiropractic 7719254929 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
De Young Chiropractic, P.C.Group PAC ID 1355354317, 2 clinicians

Practice addresses (Care Compare)

400 68TH St SW
Grand Rapids, MI 49548-7120
Phone (616) 281-2500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301010402MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
De Young Chiropractic, P.C. Chiropractor CurrentSince May 15, 2017 Accepting new patients
Plank Chiropractic, LLC Chiropractor PastSince Aug 17, 2014 Accepting new patients

Locations

400 68th St SW
Grand Rapids, MI 49548
Phone (616) 281-2500

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1455321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455321600000",
    "number": "1154780583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W 15TH ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496844424",
            "telephone_number": "231-590-4027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 68TH ST SW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495487120",
            "telephone_number": "616-281-2500",
            "fax_number": "616-281-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-13",
        "last_updated": "2016-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2016; 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.