Individual provider Active NPI

Christopher C Lauria, D.C.

  • Chiropractor
  • Roanoke, VA
National Provider Identifier
1306965819
Registry record updated Apr 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104001733 Issued in VA
Practice address
4915 Brambleton Ave
Roanoke, VA 24018-4149
Phone
(540) 725-9501
Fax
(540) 725-9503
NPI assigned
Mar 28, 2007
Last updated
Apr 17, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104001733 VA Primary

Addresses

Primary practice location

4915 Brambleton Ave
Roanoke, VA 24018-4149

Mailing address

5372 Fallowater LN
Ste B
Roanoke, VA 24018-0909
Phone (540) 725-9501

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120418000485 VA Practitioner - Chiropractic 4587825534 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifestyle Chiropractic P. C.Group PAC ID 0547421596, 2 clinicians

Practice addresses (Care Compare)

5372 Fallowater LN
Suite B
Roanoke, VA 24018-0909
Phone (540) 725-9501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lifestyle Chiropractic P. C. Chiropractor CurrentSince Jun 2, 1997 Accepting new patients

Locations

4915 Brambleton Ave
Roanoke, VA 24018
Phone (540) 682-5815

5372 Fallowater Ln
Ste B
Roanoke, VA 24018
Phone (540) 725-9501

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": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492387200000",
    "number": "1306965819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5372 FALLOWATER LN",
            "address_2": "STE B",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240180909",
            "telephone_number": "540-725-9501",
            "fax_number": "540-725-9503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 BRAMBLETON AVE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184149",
            "telephone_number": "540-725-9501",
            "fax_number": "540-725-9503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAURIA",
        "first_name": "CHRISTOPHER",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2017-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2017; 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.