Lawrence Richard Petker, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH3821 Issued in FL

Practice address

50 S Perrott Dr
Ormond Beach, FL 32174-6227

Phone

(386) 615-0801

Fax

(386) 672-4811

NPI assigned

Jan 18, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Doctor'S Professional Services Consultants, Inc

  • Chiropractor
  • Stuart, FL
  • NPI 1346456167
  NPD (past)
• R Blaine Oneal DC PA

  • Chiropractor
  • Daytona Beach, FL
  • NPI 1609896430
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275685281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 S PERROTT DR",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321746227",
            "telephone_number": "386-615-0801",
            "fax_number": "386-672-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 S PERROTT DR",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321746227",
            "telephone_number": "386-615-0801",
            "fax_number": "386-672-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETKER",
        "first_name": "LAWRENCE",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH3821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roderick Perry
• Tokay Perugia, LCSW
• Brian Michael Peterson, O.D.
• Savanna M. Peterson, DMD
• Marcia Kay Peterzell, APRN
• Vito Aniello Petrozzino, M.D.
• Tamara Fields Pettit, MS, LMFT
• Lorenzo Tien Phan, L.AC
• Pharaohs Trading L.L.C.
• Terri Phoenix, M.ED., LPC, NCC

• Chiropractor in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.