Organization Active NPI

Dr. Lawrence J. Reuter, P.C.

  • Chiropractor
  • Dunwoody, GA
National Provider Identifier
1306116058
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR001220 Issued in GA
Legal business name
DR. LAWRENCE J. REUTER, P.C.
Practice address
4675 N Shallowford Rd
Suite100
Dunwoody, GA 30338-6309
Phone
(770) 455-4547
Fax
(770) 451-8604
NPI assigned
Jan 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Authorized official

Name
Jennifer Stafford
Title
Offie Manager
Phone
(770) 455-4547

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIR001220 GA Primary

Addresses

Primary practice location

4675 N Shallowford Rd
Suite100
Dunwoody, GA 30338-6309

Mailing address

4675 N Shallowford Rd
Suite100
Dunwoody, GA 30338-6309
Phone (770) 455-4547

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120113000491 GA Part B Supplier - Clinic/Group Practice 0143497123 Receives reassigned benefits from 1 practitioner
Practice locations: Dunwoody, GA

National Provider Directory

National Provider Directory

Locations

4675 N Shallowford Rd
Ste 100
Dunwoody, GA 30338
Phone (770) 455-4547

1870 Independence Sq
Ste B
Dunwoody, GA 30338

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1306116058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4675 N SHALLOWFORD RD",
            "address_2": "SUITE100",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303386309",
            "telephone_number": "770-455-4547",
            "fax_number": "770-451-8604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4675 N SHALLOWFORD RD",
            "address_2": "SUITE100",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303386309",
            "telephone_number": "770-455-4547",
            "fax_number": "770-451-8604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. LAWRENCE J. REUTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "STAFFORD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFIE MANAGER",
        "authorized_official_telephone_number": "770-455-4547"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR001220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunwoody, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.