Individual provider Active NPI

Laurie L Pearce, D.C.

  • Chiropractor
  • Longview, TX
National Provider Identifier
1568460855
Registry record updated Mar 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5583 Issued in TX
Practice address
123 Gilmer Rd.
Ste. 3
Longview, TX 75604-4600
Phone
(903) 295-2422
Fax
(903) 757-9390
NPI assigned
Jul 11, 2005
Last updated
Mar 25, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5583 TX Primary

Addresses

Primary practice location

123 Gilmer Rd.
Ste. 3
Longview, TX 75604-4600

Mailing address

123 Gilmer Rd.
Ste. 3
Longview, TX 75604-4600
Phone (903) 295-2422

Other identifiers 2

IdentifierTypeStateIssuer
605456OtherTXBLUR CROSS BLUE SHIELD
BLUELINK8261851OtherTXBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040728000800 TX Practitioner - Chiropractic 9638149503 Practice locations: Longview, TX

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

123 Gilmer Rd
Longview, TX 75604-4600
Phone (903) 757-3785

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5583TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Perry Chiropractic, P.C. Chiropractor Past Accepting new patients

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, 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": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237939200000",
    "number": "1568460855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 GILMER RD.",
            "address_2": "STE. 3",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756044600",
            "telephone_number": "903-295-2422",
            "fax_number": "903-757-9390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 GILMER RD.",
            "address_2": "STE. 3",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756044600",
            "telephone_number": "903-295-2422",
            "fax_number": "903-757-9390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARCE",
        "first_name": "LAURIE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-11",
        "last_updated": "2009-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "5583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUR CROSS BLUE SHIELD",
            "identifier": "605456",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "BLUELINK8261851",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; 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.