Individual provider Active NPI

Jason Anthony Lauer, DC

  • Chiropractor
  • Waukesha, WI
National Provider Identifier
1417067414
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3580-012 Issued in WI
Practice address
821 Meadowbrook Rd
Suite 4
Waukesha, WI 53188-7314
Phone
(262) 446-0220
Fax
(262) 446-0219
NPI assigned
Aug 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 3580-012 WI Primary

Addresses

Primary practice location

821 Meadowbrook Rd
Suite 4
Waukesha, WI 53188-7314

Mailing address

N10W31572 Phyllis Pkwy
Delafield, WI 53018-2632
Phone (262) 646-2384

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040324000626 WI Practitioner - Chiropractic 1355232695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3228 Turnberry Oak Dr
Suite 150
Waukesha, WI 53188-3967

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3580-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lauer Family Chiropractic Inc Chiropractor CurrentSince Nov 1, 2004 Accepting new patients

Locations

3228 Turnberry Oak Dr
Ste 150
Waukesha, WI 53188
Phone (262) 446-0220

821 Meadowbrook Rd
Ste 4
Waukesha, WI 53188
Phone (262) 446-0220

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, 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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417067414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N10W31572 PHYLLIS PKWY",
            "city": "DELAFIELD",
            "state": "WI",
            "postal_code": "530182632",
            "telephone_number": "262-646-2384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 MEADOWBROOK RD",
            "address_2": "SUITE 4",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531887314",
            "telephone_number": "262-446-0220",
            "fax_number": "262-446-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUER",
        "first_name": "JASON",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3580-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.