Individual provider Active NPI

Lorenelle Lofquist, D.C.

  • Chiropractor
  • Fenton, MO
National Provider Identifier
1255632238
Registry record updated Dec 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2011012193 Issued in MO
Practice address
1747 Smizer Station Rd
Ste 4
Fenton, MO 63026-2784
Phone
(636) 825-6555
Fax
(636) 825-6545
NPI assigned
Nov 8, 2010
Last updated
Dec 2, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 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 2011012193 MO Primary

Addresses

Primary practice location

1747 Smizer Station Rd
Ste 4
Fenton, MO 63026-2784

Mailing address

1747 Smizer Station Rd
Ste 4
Fenton, MO 63026-2784
Phone (636) 825-6555

Other names 1

  • Dr. Lorie Lofquist Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2011012193MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Family Wellness Center LLC Chiropractor CurrentSince Sep 1, 2019 Accepting new patients

Locations

1747 Smizer Station Rd
Ste 4
Fenton, MO 63026
Phone (636) 825-6555

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8711/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1289174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480636800000",
    "number": "1255632238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1747 SMIZER STATION RD",
            "address_2": "STE 4",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262784",
            "telephone_number": "636-825-6555",
            "fax_number": "636-825-6546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1747 SMIZER STATION RD",
            "address_2": "STE 4",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262784",
            "telephone_number": "636-825-6555",
            "fax_number": "636-825-6545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOFQUIST",
        "first_name": "LORENELLE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-08",
        "last_updated": "2016-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2011012193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORIE",
            "last_name": "LOFQUIST",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fenton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.