Active NPI
Donald R Lorentz, DC
- Chiropractor
- Wausau, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4695
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4695 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palmer College Foundation | Chiropractor | Current | Accepting new patients |
| Palmer College Foundation | Chiropractor | Current | Accepting new patients |
| Allied Health of Wisconsin, SC | Chiropractor | Past | Accepting new patients |
| Scott D. Bautch D C S C | Chiropractor | Past | 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.
-
- Chiropractor
- Port Orange, FL
- NPI 1568552255
-
- Chiropractor
- Davenport, IA
- NPI 1174535181
-
- Chiropractor
- Wausau, WI
- NPI 1487605051
-
- Chiropractor
- Wausau, WI
- NPI 1316315153
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.