Individual provider Active NPI

Lauren Michelle Rains, D.C.

  • Chiropractor
  • Iowa Park, TX
National Provider Identifier
1316213689
Registry record updated Dec 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12021 Issued in TX
Practice address
928 W Highway St
Iowa Park, TX 76367-1149
Phone
(940) 592-2778
Fax
(940) 592-2701
NPI assigned
Mar 30, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 12021 TX Primary

Addresses

Primary practice location

928 W Highway St
Iowa Park, TX 76367-1149

Mailing address

928 W Highway St
Iowa Park, TX 76367-1149
Phone (940) 592-2778

Other identifiers 3

IdentifierTypeStateIssuer
046455402MedicaidTX
162932101OtherTXMEDICAID TPIN GROUP
00523UOtherTXMEDICARE GROUP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120618000381 TX Practitioner - Chiropractic 1254595523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

928 W Hwy St
Iowa Park, TX 76367-1149
Phone (940) 592-2778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Back by Design, PLLC Chiropractor CurrentSince Dec 29, 2013 Accepting new patients
DM Blackwell Holdings LLC Chiropractor Past Accepting new patients
Birk Chiropractic, P.a. Chiropractor PastSince Apr 1, 2002 Accepting new patients

Locations

928 W Highway St
Iowa Park, TX 76367
Phone (940) 592-2778

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387497600000",
    "number": "1316213689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 W HIGHWAY ST",
            "city": "IOWA PARK",
            "state": "TX",
            "postal_code": "763671149",
            "telephone_number": "940-592-2778",
            "fax_number": "940-592-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 W HIGHWAY ST",
            "city": "IOWA PARK",
            "state": "TX",
            "postal_code": "763671149",
            "telephone_number": "940-592-2778",
            "fax_number": "940-592-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINS",
        "first_name": "LAUREN",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-30",
        "last_updated": "2013-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046455402",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID TPIN GROUP",
            "identifier": "162932101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "00523U",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; 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.