Individual provider Active NPI

Lauren Elizabeth Letz, D.C.

  • Chiropractor
  • Fort Worth, TX
National Provider Identifier
1477733723
Registry record updated May 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10742 Issued in TX
Practice address
501 Carroll St
Ste 612
Fort Worth, TX 76107-2292
Phone
(817) 348-8488
Fax
(817) 348-8448
NPI assigned
Nov 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10742 TX Primary

Addresses

Primary practice location

501 Carroll St
Ste 612
Fort Worth, TX 76107-2292

Mailing address

501 Carroll St
Ste 612
Fort Worth, TX 76107-2292
Phone (817) 348-8488

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080807000263 TX Practitioner - Chiropractic 9830263904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PTW Health PLLCGroup PAC ID 8123457652, 3 clinicians

Practice addresses (Care Compare)

525 Bailey Ave
Fort Worth, TX 76107-2125
Phone (817) 348-8488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10742TXMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
PTW Health, PLLC Chiropractor CurrentSince Dec 13, 2019 Accepting new patients
Center for Urologic Surgery LLC Past Accepting new patients

Locations

525 Bailey Ave
Ft Worth, TX 76107
Phone (817) 348-8448

Interoperability endpoints

  • Direct secure messaging: lauren.letz@4097.securemail.prognocis.com

Organizations & group practices 2

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": "1194134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400544000000",
    "number": "1477733723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 CARROLL ST",
            "address_2": "STE 612",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072292",
            "telephone_number": "817-348-8488",
            "fax_number": "817-348-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 CARROLL ST",
            "address_2": "STE 612",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072292",
            "telephone_number": "817-348-8488",
            "fax_number": "817-348-8448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LETZ",
        "first_name": "LAUREN",
        "middle_name": "ELIZABETH",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-04",
        "last_updated": "2014-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; 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.