Active NPI
Lawrence Robert Free, D.C.
- Neurology Chiropractor
- St Petersburg, FL
National Provider Identifier
1316995764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Chiropractor
- License
- CH0001688
- Practice address
- 500 Tyrone Blvd N
St Petersburg, FL 33710-7125 - Phone
- (727) 345-7427
- Fax
- (727) 347-1172
- NPI assigned
- May 5, 2006
- Last updated
- Dec 12, 2011
- 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 |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | CH0001688 | FL | Primary |
Addresses
Primary practice location
500 Tyrone Blvd N
St Petersburg, FL 33710-7125
Mailing address
500 Tyrone Blvd N
St Petersburg, FL 33710-7125
Phone (727) 345-7427
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH1688 | Other | FL | STATE LICENSE NUMBER |
| 050222700 | Medicaid | FL |
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 |
|---|---|---|---|
| CH0001688 | FL | MD | Neurology Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lawrence R Free DC PA | 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": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323648000000",
"number": "1316995764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 TYRONE BLVD N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337107125",
"telephone_number": "727-345-7427",
"fax_number": "727-347-1172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 TYRONE BLVD N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337107125",
"telephone_number": "727-345-7427",
"fax_number": "727-347-1172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREE",
"first_name": "LAWRENCE",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2011-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "FL",
"license": "CH0001688",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "CH1688",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "050222700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.