Individual provider Active NPI

Jason Christopher Lawlor, D.C.

  • Chiropractor
  • Livonia, MI
National Provider Identifier
1396719522
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008458 Issued in MI
Practice address
16801 Newburgh Rd
Suite 109
Livonia, MI 48154-1606
Phone
(734) 432-7071
Fax
(734) 432-7940
NPI assigned
Feb 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301008458 MI Primary

Addresses

Primary practice location

16801 Newburgh Rd
Suite 109
Livonia, MI 48154-1606

Mailing address

16801 Newburgh Rd
Suite 109
Livonia, MI 48154-1606
Phone (734) 432-7071

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230804002594 FL Practitioner - Chiropractic 3870579964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

324 Cross St
Punta Gorda, FL 33950-4828
Phone (941) 205-2180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301008458MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Spinal Health and Rehab of Punta Gorda CurrentSince Jul 7, 2023 Accepting new patients

Locations

2905 Tamiami Trl
Punta Gorda, FL 33950
Phone (941) 205-2180

324 Cross St
Punta Gorda, FL 33950
Phone (941) 205-2180

Organizations & group practices 1

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": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196208000000",
    "number": "1396719522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16801 NEWBURGH RD",
            "address_2": "SUITE 109",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541606",
            "telephone_number": "734-432-7071",
            "fax_number": "734-432-7940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16801 NEWBURGH RD",
            "address_2": "SUITE 109",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541606",
            "telephone_number": "734-432-7071",
            "fax_number": "734-432-7940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWLOR",
        "first_name": "JASON",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2007-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.