Individual provider Active NPI

Lauri L Wondra, DC

  • Chiropractor
  • Fort Madison, IA
National Provider Identifier
1235100710
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06523 Issued in IA
Practice address
724 Avenue G
Fort Madison, IA 52627-2927
Phone
(319) 372-7898
Fax
(319) 372-5232
NPI assigned
Jan 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 06523 IA Primary

Addresses

Primary practice location

724 Avenue G
Fort Madison, IA 52627-2927

Mailing address

724 Avenue G
Fort Madison, IA 52627-2927
Phone (319) 372-7898

Other identifiers 3

IdentifierTypeStateIssuer
525812OtherIAIOWA HEALTH SOLUTIONS
0444232MedicaidIA
19790OtherIAWELLMARK BCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040520001360 IA Practitioner - Chiropractic 1951392612 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Fort Madison, IA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wondra Family Chiropractic PCGroup PAC ID 8921495912, 2 clinicians

Practice addresses (Care Compare)

724 Ave G
Fort Madison, IA 52627-2927
Phone (319) 372-7898

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wondra Family Chiropractic PC Chiropractor CurrentSince Mar 11, 2022 Accepting new patients
Wondra Family Chiropractic Chiropractor PastSince May 20, 2004 Accepting new patients

Locations

724 Avenue G
Fort Madison, IA 52627
Phone (319) 372-7898

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1235100710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 AVENUE G",
            "city": "FORT MADISON",
            "state": "IA",
            "postal_code": "526272927",
            "telephone_number": "319-372-7898",
            "fax_number": "319-372-5232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 AVENUE G",
            "city": "FORT MADISON",
            "state": "IA",
            "postal_code": "526272927",
            "telephone_number": "319-372-7898",
            "fax_number": "319-372-5232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONDRA",
        "first_name": "LAURI",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-31",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA HEALTH SOLUTIONS",
            "identifier": "525812",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0444232",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "19790",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Madison, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; 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.