Organization Active NPI

Laurence H. Churchill

  • Chiropractor
  • Ocala, FL
National Provider Identifier
1417459488
Registry record updated May 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH11293 Issued in FL
Legal business name
LAURENCE H. CHURCHILL
Practice address
1007 SW 1St Ave
Ocala, FL 34471-0920
Phone
(352) 732-2745
Fax
(352) 732-8066
NPI assigned
Mar 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2019

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

Authorized official

Name
Dr. Laurence H Churchill, DCNPI 1871992859
Title
Owner
Phone
(386) 212-7113

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH11293 FL Primary

Addresses

Primary practice location

1007 SW 1St Ave
Ocala, FL 34471-0920

Mailing address

10 Pine Course Way
Ocala, FL 34472-8301
Phone (386) 212-7113

Other practice location 1

8484 SW 103rd Street Rd
Ocala, FL 34481-7766
Phone (352) 854-1112

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190520000327 FL Part B Supplier - Clinic/Group Practice 5991048704 Receives reassigned benefits from 1 practitioner
Practice locations: Ocala, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1520294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557878400000",
    "number": "1417459488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PINE COURSE WAY",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344728301",
            "telephone_number": "386-212-7113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 SW 1ST AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344710920",
            "telephone_number": "352-732-2745",
            "fax_number": "352-732-8066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8484 SW 103rd Street Rd",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344817766",
            "country_code": "US",
            "telephone_number": "352-854-1112",
            "fax_number": "352-237-0946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LAURENCE H. CHURCHILL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-06",
        "last_updated": "2019-05-15",
        "status": "A",
        "authorized_official_last_name": "CHURCHILL",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-212-7113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.