Individual provider Active NPI

Michael Lawrence Lenarz, D.C.

  • Chiropractor
  • Sedro Woolley, WA
National Provider Identifier
1326224510
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00002269 Issued in WA
Practice address
700 Murdock St
Suite B
Sedro Woolley, WA 98284-1426
Phone
(360) 855-1021
Fax
(360) 855-0356
NPI assigned
Jan 17, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00002269 WA Primary

Addresses

Primary practice location

700 Murdock St
Suite B
Sedro Woolley, WA 98284-1426

Mailing address

700 Murdock St
Suite B
Sedro Woolley, WA 98284-1426
Phone (360) 855-1021

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120130000174 WA Practitioner - Chiropractic 9830086537 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

700 Murdock St
Suite B
Sedro Woolley, WA 98284-1407
Phone (360) 855-1021

700 Murdock St
Suite B
Sedro Woolley, WA 98284-1426

700 Murdock St B
Sedro Woolley, WA 98284-1426

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Health First Chiropractic Inc PS Chiropractor Current Accepting new patients
Dynamic Life Chiropractic, LLC Chiropractor PastSince Feb 25, 2008 Accepting new patients

Locations

700 Murdock St
Ste B
Sedro Woolley, WA 98284
Phone (360) 855-1021

Organizations & group practices 2

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": "1200528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200528000000",
    "number": "1326224510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MURDOCK ST",
            "address_2": "SUITE B",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982841426",
            "telephone_number": "360-855-1021",
            "fax_number": "360-855-0356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MURDOCK ST",
            "address_2": "SUITE B",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982841426",
            "telephone_number": "360-855-1021",
            "fax_number": "360-855-0356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENARZ",
        "first_name": "MICHAEL",
        "middle_name": "LAWRENCE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-17",
        "last_updated": "2008-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedro Woolley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; 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.