Individual provider Active NPI

Raymond Leonard Lanjopoulos, D.C.

  • Chiropractor
  • Grand Ledge, MI
National Provider Identifier
1265411698
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301006722 Issued in MI
Practice address
309 E Saginaw Hwy
Grand Ledge, MI 48837-2191
Phone
(517) 627-4547
NPI assigned
Jan 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301006722 MI Primary

Addresses

Primary practice location

309 E Saginaw Hwy
Grand Ledge, MI 48837-2191

Mailing address

PO Box 44
Grand Ledge, MI 48837-0044
Phone (517) 627-4547

Other identifiers 1

IdentifierTypeStateIssuer
950B310740OtherMIBCBS #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100921001435 MI Practitioner - Chiropractic 8729104237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 1980
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

309 E Saginaw Hwy
Grand Ledge, MI 48837-2191
Phone (517) 627-4547

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301006722MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lanjopoulos Chiropractic Chiropractor CurrentSince Mar 17, 1988 Accepting new patients
Lanjopoulos Chiropractic Chiropractor Past Accepting new patients

Locations

309 E Saginaw Hwy
Grand Ledge, MI 48837
Phone (517) 627-4547

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": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214265600000",
    "number": "1265411698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488370044",
            "telephone_number": "517-627-4547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 E SAGINAW HWY",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488372191",
            "telephone_number": "517-627-4547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANJOPOULOS",
        "first_name": "RAYMOND",
        "middle_name": "LEONARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2008-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301006722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS #",
            "identifier": "950B310740",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Ledge, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.