Organization Active NPI

Lazar Spinal Care, P.C.

  • Chiropractor
  • Ann Arbor, MI
National Provider Identifier
1235385014
Registry record updated Aug 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009433 Issued in MI
Legal business name
LAZAR SPINAL CARE, P.C.
Practice address
203 S Zeeb Rd
Suite 106
Ann Arbor, MI 48103-8326
Phone
(734) 274-5107
Fax
(877) 890-6994
NPI assigned
Aug 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2008

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

Authorized official

Name
Dr. Jonathan Lazar, D.C.NPI 1629234356
Title
President
Phone
(734) 274-5107

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP1600X
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 2301009433 MI Primary

Addresses

Primary practice location

203 S Zeeb Rd
Suite 106
Ann Arbor, MI 48103-8326

Mailing address

203 S Zeeb Rd
Suite 106
Ann Arbor, MI 48103-8326
Phone (734) 274-5107

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081009000655 MI Part B Supplier - Clinic/Group Practice 2466520085 Receives reassigned benefits from 1 practitioner
Practice locations: Ann Arbor, MI

National Provider Directory

National Provider Directory

Locations

203 S Zeeb Rd
Ste 106
Ann Arbor, MI 48103
Phone (734) 274-5107

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1235385014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 S ZEEB RD",
            "address_2": "SUITE 106",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481038326",
            "telephone_number": "734-274-5107",
            "fax_number": "877-890-6994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S ZEEB RD",
            "address_2": "SUITE 106",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481038326",
            "telephone_number": "734-274-5107",
            "fax_number": "877-890-6994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAZAR SPINAL CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-13",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "LAZAR",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-274-5107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.