Individual provider Active NPI

Donald R Lorentz, DC

  • Chiropractor
  • Wausau, WI
National Provider Identifier
1245534833
Registry record updated Dec 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4695 Issued in WI
Practice address
3540 Stewart Ave
Ste a
Wausau, WI 54401-4919
Phone
(715) 842-3999
Fax
(715) 843-7761
NPI assigned
Dec 22, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4695 WI Primary

Addresses

Primary practice location

3540 Stewart Ave
Ste a
Wausau, WI 54401-4919

Mailing address

601 S 32ND Ave
Wausau, WI 54401-3958
Phone (715) 848-2526

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170501001151 FL Practitioner - Chiropractic 5294924643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palmer College FoundationGroup PAC ID 1557266863, 44 clinicians

Practice addresses (Care Compare)

4705 Clyde Morris Blvd
Port Orange, FL 32129-4103
Phone (386) 763-2718

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4695WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Palmer College Foundation Chiropractor CurrentSince May 22, 2017 Accepting new patients
Palmer College Foundation Chiropractor CurrentSince May 22, 2017 Accepting new patients
Allied Health of Wisconsin, SC Chiropractor PastSince Sep 30, 1994 Accepting new patients
Scott D. Bautch D C S C Chiropractor PastSince Dec 31, 2015 Accepting new patients

Locations

311 N Clyde Morris Blvd
Ste 310
Daytona Beach, FL 32114
Phone (386) 257-6644

4705 Clyde Morris Blvd
Pt Orange, FL 32129
Phone (386) 763-2712

1000 Brady St
Davenport, IA 52803
Phone (563) 884-5800

Organizations & group practices 4

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": "1292976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292976000000",
    "number": "1245534833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S 32ND AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544013958",
            "telephone_number": "715-848-2526",
            "fax_number": "715-848-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 STEWART AVE",
            "address_2": "STE A",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014919",
            "telephone_number": "715-842-3999",
            "fax_number": "715-843-7761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORENTZ",
        "first_name": "DONALD",
        "middle_name": "R",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-22",
        "last_updated": "2010-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; 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.