Active NPI
Robert Edward Lawson IV, DC
- Chiropractor
- Walhalla, SC
National Provider Identifier
1295782290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1502
- Practice address
- 206 W Main St
Walhalla, SC 29691 - Phone
- (864) 638-6500
- NPI assigned
- May 27, 2006
- Last updated
- Apr 9, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 | 1502 | SC | Primary |
Addresses
Primary practice location
206 W Main St
Walhalla, SC 29691
Mailing address
PO Box 1204
Walhalla, SC 29691-1204
Phone (864) 638-6500
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1502 | SC | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Testarossa Health, Inc | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270771200000",
"number": "1295782290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1204",
"city": "WALHALLA",
"state": "SC",
"postal_code": "296911204",
"telephone_number": "864-638-6500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 W MAIN ST",
"city": "WALHALLA",
"state": "SC",
"postal_code": "29691",
"telephone_number": "864-638-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWSON",
"first_name": "ROBERT",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"name_suffix": "IV",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-27",
"last_updated": "2010-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "1502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walhalla, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.