Individual provider Active NPI

Lauren D. Naatz, D.C.

  • Chiropractor
  • Racine, WI
National Provider Identifier
1356501613
Registry record updated Nov 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4394-012 Issued in WI
Practice address
5439 Durand Ave.
Ste. 200
Racine, WI 53406-5058
Phone
(262) 898-0208
Fax
(262) 554-6883
NPI assigned
Jun 11, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2008014021 MO
Chiropractor 111N00000X 4394-012 WI Primary

Addresses

Primary practice location

5439 Durand Ave.
Ste. 200
Racine, WI 53406-5058

Mailing address

5439 Durand Ave.
Ste. 200
Racine, WI 53406-5058
Phone (262) 898-0208

Other identifiers 1

IdentifierTypeStateIssuer
100006233MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091118000194 WI Practitioner - Chiropractic 1951477405 Practice locations: Racine, WI

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5439 Durand Ave
Suite 200
Racine, WI 53406-5058
Phone (262) 898-0208

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4394-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sheriff Chiropractic, LLC PastSince Mar 26, 2008 Accepting new patients
Tiferet Family Chiropractic, S.C. Chiropractor Past Accepting new patients

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": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320105600000",
    "number": "1356501613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5439 DURAND AVE.",
            "address_2": "STE. 200",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534065058",
            "telephone_number": "262-898-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5439 DURAND AVE.",
            "address_2": "STE. 200",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534065058",
            "telephone_number": "262-898-0208",
            "fax_number": "262-554-6883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAATZ",
        "first_name": "LAUREN",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-11",
        "last_updated": "2011-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2008014021",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4394-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100006233",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Racine, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; 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.