Ira Keith Lavender, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6015 Issued in AZ

Practice address

2915 E Baseline Rd Ste 126
Gilbert, AZ 85234-2475

Phone

(480) 325-6977

Fax

(602) 296-0487

NPI assigned

Dec 5, 2007

Last updated

Oct 30, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Foresight Chiropractic PLC

  dba Foresight Chiropractic

  • Chiropractor
  • Gilbert, AZ
  • NPI 1669486908
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351555200000",
    "number": "1346422086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2915 E BASELINE RD STE 126",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342475",
            "telephone_number": "480-325-6977",
            "fax_number": "602-296-0487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 E BASELINE RD STE 126",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342475",
            "telephone_number": "480-325-6977",
            "fax_number": "602-296-0487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVENDER",
        "first_name": "IRA",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-05",
        "last_updated": "2012-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "6015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0932280",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "63087",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NPI",
            "identifier": "1669486908",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristina Laugen, COTA/L
• Jacqueline Lauren Lauko, LPC
• Seren Lauritzen, ED.S.
• Lynette Lauterbach, PTA
• Holly Lavalley
• Mark Lavigne, PHARMD
• Cori Erin Law, M.ED, BCBA, LBA
• Tara Ashlyn Law, APRN
• Modupe Lawani, RN
• Kayla Lawlor

• Chiropractor in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; 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.