Individual provider Active NPI

Charles W Lavalley, D.C.

  • Chiropractor
  • Topeka, KS
National Provider Identifier
1497750491
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-03452 Issued in KS
Practice address
4525 SW 21St Street
Topeka, KS 66604-3596
Phone
(785) 272-4242
Fax
(785) 272-5623
NPI assigned
Jun 16, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-03452 KS Primary

Addresses

Primary practice location

4525 SW 21St Street
Topeka, KS 66604-3596

Mailing address

4525 SW 21St St
Topeka, KS 66604-3596
Phone (785) 215-8700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081024000105 KS Practitioner - Chiropractic 1658439336 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4525 SW 21St St
Topeka, KS 66604-3505
Phone (785) 215-8700

Merit-based Incentive Payment System (MIPS)

Final score
24.89 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
82.96

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01-03452KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lavalley Chiropractic, Inc. Chiropractor CurrentSince Nov 8, 1999 Accepting new patients

Locations

4525 SW 21st St
Topeka, KS 66604
Phone (785) 215-8700

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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1497750491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 SW 21ST ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666043596",
            "telephone_number": "785-215-8700",
            "fax_number": "785-215-8717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 SW 21ST STREET",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666043596",
            "telephone_number": "785-272-4242",
            "fax_number": "785-272-5623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVALLEY",
        "first_name": "CHARLES",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-03452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.