Individual provider Active NPI

Derek Lambert, D.C.

  • Chiropractor
  • Denison, IA
National Provider Identifier
1336477280
Registry record updated Jul 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007260 Issued in IA
Practice address
909 4TH Ave S
Denison, IA 51442-2427
Phone
(712) 263-4545
Fax
(712) 263-8275
NPI assigned
Dec 3, 2009
Last updated
Jul 9, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 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 007260 IA Primary

Addresses

Primary practice location

909 4TH Ave S
Denison, IA 51442-2427

Mailing address

909 4TH Ave S
Denison, IA 51442-2427
Phone (712) 263-4545

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100301000735 IA Practitioner - Chiropractic 3779628805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lambert Family and Sports Chiropractic PCGroup PAC ID 2860523800, 2 clinicians

Practice addresses (Care Compare)

909 4TH Ave S
Denison, IA 51442-2427
Phone (712) 263-4545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007260IAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lambert Family and Sports Chiropractic PC Chiropractor CurrentSince Apr 30, 2010 Accepting new patients
Cedar Valley Medical Specialists PC Past Accepting new patients
Pitts Family & Sports Chiropractic CTRS PC Chiropractor PastSince Feb 1, 2003 Accepting new patients

Locations

909 4th Ave S
Denison, IA 51442
Phone (712) 263-4545

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, 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": "1259798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373328000000",
    "number": "1336477280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 4TH AVE S",
            "city": "DENISON",
            "state": "IA",
            "postal_code": "514422427",
            "telephone_number": "712-263-4545",
            "fax_number": "712-263-8275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 4TH AVE S",
            "city": "DENISON",
            "state": "IA",
            "postal_code": "514422427",
            "telephone_number": "712-263-4545",
            "fax_number": "712-263-8275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMBERT",
        "first_name": "DEREK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-03",
        "last_updated": "2013-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denison, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.