Individual provider Active NPI

Charles David Lawhead, D.C.

  • Chiropractor
  • Norfolk, NE
National Provider Identifier
1609910884
Registry record updated Aug 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1295 Issued in NE
Practice address
110 N 37TH St
Suite #405
Norfolk, NE 68701-3283
Phone
(402) 371-0522
Fax
(402) 371-8212
NPI assigned
Feb 19, 2007
Last updated
Aug 31, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4747 MN
Chiropractor 111N00000X 1295 NE Primary

Addresses

Primary practice location

110 N 37TH St
Suite #405
Norfolk, NE 68701-3283

Mailing address

110 N 37TH St
Suite #405
Norfolk, NE 68701-3283
Phone (402) 371-0522

Other identifiers 3

IdentifierTypeStateIssuer
360082100MedicaidMN
P00410274OtherMNMEDICARE RAILROAD
628A6LAOtherMNBLUE CROSS BLUE SHIELD

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
4747MNMDChiropractor
1295NEMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spier Physical Therapy Inc Past Accepting new patients
Cich Chiropractic Chiropractor Past Accepting new patients
Abeler Chiropractic Clinic, PA Chiropractor PastSince May 1, 2002 Accepting new patients
Trillium Chiropractic, P.a. Chiropractor Past Accepting new patients
Creekwood Chiropractic Clinic P.C. Chiropractor PastSince Sep 22, 2014 Accepting new patients

Organizations & group practices 5

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": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283212800000",
    "number": "1609910884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N 37TH ST",
            "address_2": "SUITE #405",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687013283",
            "telephone_number": "402-371-0522",
            "fax_number": "402-371-8212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N 37TH ST",
            "address_2": "SUITE #405",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687013283",
            "telephone_number": "402-371-0522",
            "fax_number": "402-371-8212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWHEAD",
        "first_name": "CHARLES",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-19",
        "last_updated": "2010-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4747",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "360082100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00410274",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "628A6LA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; 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.