Active NPI
Lars Landers, D.C.
- Neurology Chiropractor
- Port Orange, FL
National Provider Identifier
1275818874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Chiropractor
- License
- CH 12173
- Practice address
- 5111 S Ridgewood Ave
Suite 102
Port Orange, FL 32127-5169 - Phone
- (386) 366-8198
- NPI assigned
- Oct 14, 2011
- Last updated
- May 6, 2017
- 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 |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | CH 12173 | FL | Primary |
Addresses
Primary practice location
5111 S Ridgewood Ave
Suite 102
Port Orange, FL 32127-5169
Mailing address
5111 S Ridgewood Ave
Suite 102
Port Orange, FL 32127-5169
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH 12173 | FL | MD | Neurology Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494028800000",
"number": "1275818874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5111 S RIDGEWOOD AVE",
"address_2": "SUITE 102",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321275169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5111 S RIDGEWOOD AVE",
"address_2": "SUITE 102",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321275169",
"telephone_number": "386-366-8198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDERS",
"first_name": "LARS",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-14",
"last_updated": "2017-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "FL",
"license": "CH 12173",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Orange, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.