Active NPI
Charles David Lawhead, D.C.
- Chiropractor
- Norfolk, NE
National Provider Identifier
1609910884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1295
- 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, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 360082100 | Medicaid | MN | |
| P00410274 | Other | MN | MEDICARE RAILROAD |
| 628A6LA | Other | MN | BLUE 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4747 | MN | MD | Chiropractor |
| 1295 | NE | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spier Physical Therapy Inc | Past | Accepting new patients | |
| Cich Chiropractic | Chiropractor | Past | Accepting new patients |
| Abeler Chiropractic Clinic, PA | Chiropractor | Past | Accepting new patients |
| Trillium Chiropractic, P.a. | Chiropractor | Past | Accepting new patients |
| Creekwood Chiropractic Clinic P.C. | Chiropractor | Past | 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.
-
- Chiropractor
- Norfolk, NE
- NPI 1932135688
-
- Physical Therapist
- Norfolk, NE
- NPI 1033202833
-
- Chiropractor
- Anoka, MN
- NPI 1225251770
-
- Chiropractor
- Maple Grove, MN
- NPI 1225198856
-
- Chiropractor
- Maple Grove, MN
- NPI 1467682732
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.