Individual provider Active NPI

Lawrence Delisi, D.C.

  • Chiropractor
  • Winthrop, WA
National Provider Identifier
1467517516
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00002311 Issued in WA
Practice address
517 Highway 20
Winthrop, WA 98862
Phone
(509) 996-3276
Fax
(509) 996-3276
NPI assigned
Dec 27, 2006
Last updated
Oct 15, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 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 CH00002311 WA Primary

Addresses

Primary practice location

517 Highway 20
Winthrop, WA 98862

Mailing address

PO Box 723
517 Hwy #20
Winthrop, WA 98862
Phone (509) 996-3276

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

LicenseStateTypeSpecialty
CH00002311WAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192406400000",
    "number": "1467517516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 723",
            "address_2": "517 HWY #20",
            "city": "WINTHROP",
            "state": "WA",
            "postal_code": "98862",
            "telephone_number": "509-996-3276",
            "fax_number": "509-996-3276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 HIGHWAY 20",
            "city": "WINTHROP",
            "state": "WA",
            "postal_code": "98862",
            "telephone_number": "509-996-3276",
            "fax_number": "509-996-3276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELISI",
        "first_name": "LAWRENCE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winthrop, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.