Active NPI
Lee A. Ditsworth, D.C.
- Chiropractor
- Lake Park, IA
National Provider Identifier
1366532756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- A5598
- Practice address
- 19 Avenue C West
Lake Park, IA 51347-0448 - Phone
- (712) 832-3118
- NPI assigned
- Oct 13, 2006
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | A5598 | IA | Primary |
Addresses
Primary practice location
19 Avenue C West
Lake Park, IA 51347-0448
Mailing address
19 Avenue C West
PO Box 448
Lake Park, IA 51347-0448
Phone (712) 832-3118
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A5598 | IA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290988800000",
"number": "1366532756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 AVENUE C WEST",
"address_2": "PO BOX 448",
"city": "LAKE PARK",
"state": "IA",
"postal_code": "513470448",
"telephone_number": "712-832-3118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 AVENUE C WEST",
"city": "LAKE PARK",
"state": "IA",
"postal_code": "513470448",
"telephone_number": "712-832-3118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DITSWORTH",
"first_name": "LEE",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-13",
"last_updated": "2010-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "A5598",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Park, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.