Individual provider Active NPI

Lisa Dianne Royer, D.C.

  • Chiropractor
  • Cedar Rapids, IA
National Provider Identifier
1518153030
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
05500 Issued in IA
Practice address
3150 E Ave NW
Suite #101
Cedar Rapids, IA 52405-2900
Phone
(319) 390-2970
Fax
(319) 390-2959
NPI assigned
Sep 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 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 05500 IA Primary

Addresses

Primary practice location

3150 E Ave NW
Suite #101
Cedar Rapids, IA 52405-2900

Mailing address

3150 E Ave NW
Suite #101
Cedar Rapids, IA 52405-2900
Phone (319) 390-2970

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
05500IAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196812800000",
    "number": "1518153030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 E AVE NW",
            "address_2": "SUITE #101",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524052900",
            "telephone_number": "319-390-2970",
            "fax_number": "319-390-2959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 E AVE NW",
            "address_2": "SUITE #101",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524052900",
            "telephone_number": "319-390-2970",
            "fax_number": "319-390-2959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYER",
        "first_name": "LISA",
        "middle_name": "DIANNE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-18",
        "last_updated": "2007-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "05500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.