Individual provider Active NPI

Lauren A Fontaine, D.C.

  • Chiropractor
  • Boone, NC
National Provider Identifier
1538496146
Registry record updated Jul 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4373 Issued in NC
Practice address
643 Greenway Rd
Suite J3
Boone, NC 28607-4819
Phone
(828) 355-9052
Fax
(828) 355-9047
NPI assigned
Nov 3, 2009
Last updated
Jul 16, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4373 NC Primary

Addresses

Primary practice location

643 Greenway Rd
Suite J3
Boone, NC 28607-4819

Mailing address

643 Greenway Rd
Boone, NC 28607-4819
Phone (828) 355-9052

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130911000588 NC Practitioner - Chiropractic 9830333962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

643 Greenway Rd
Suite J3
Boone, NC 28607-5304
Phone (828) 355-9052

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Family Chiropractic, PLLC Chiropractor CurrentSince Aug 2, 2013 Accepting new patients
Mauldin Chiropractic Chiropractor PastSince Jul 12, 2013 Accepting new patients

Locations

643 Greenway Rd
Ste J3
Boone, NC 28607
Phone (828) 355-9052

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373932800000",
    "number": "1538496146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 GREENWAY RD",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286074819",
            "telephone_number": "828-355-9052",
            "fax_number": "828-355-9047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 GREENWAY RD",
            "address_2": "SUITE J3",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286074819",
            "telephone_number": "828-355-9052",
            "fax_number": "828-355-9047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTAINE",
        "first_name": "LAUREN",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-03",
        "last_updated": "2013-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; 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.