Individual provider Active NPI

Lauren Spore, DC

  • Chiropractor
  • Wayne, NE
National Provider Identifier
1598385122
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2035 Issued in NE
Practice address
1302 W 7TH St
Wayne, NE 68787-1692
Phone
(402) 375-3450
Fax
(402) 375-3450
NPI assigned
Apr 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2035 NE Primary

Addresses

Primary practice location

1302 W 7TH St
Wayne, NE 68787-1692

Mailing address

1309 Williams St
Great Bend, KS 67530-4447
Phone (620) 792-3678

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230120000552 KS Practitioner - Chiropractic 0648696088 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beugelsdijk Chiropractic PAGroup PAC ID 4880958982, 2 clinicians

Practice addresses (Care Compare)

1309 Williams St
Great Bend, KS 67530-4447
Phone (620) 792-3678

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2035NEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Beugelsdijk Chiropractic, PA Chiropractor CurrentSince Jul 24, 2023 Accepting new patients

Locations

1309 Williams St
Great Bend, KS 67530
Phone (620) 792-3678

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": "1587600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1598385122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 WILLIAMS ST",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675304447",
            "telephone_number": "620-792-3678",
            "fax_number": "620-792-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 W 7TH ST",
            "city": "WAYNE",
            "state": "NE",
            "postal_code": "687871692",
            "telephone_number": "402-375-3450",
            "fax_number": "402-375-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPORE",
        "first_name": "LAUREN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-23",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "2035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.