Individual provider Active NPI

Charlene May Herman, DC

  • Chiropractor
  • Lawrence, KS
National Provider Identifier
1619340080
Registry record updated Nov 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-05756 Issued in KS
Practice address
4311 W 6TH St
Ste C
Lawrence, KS 66049-3965
Phone
(785) 856-0423
NPI assigned
Nov 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-05756 KS Primary

Addresses

Primary practice location

4311 W 6TH St
Ste C
Lawrence, KS 66049-3965

Mailing address

4311 W 6TH St
Ste C
Lawrence, KS 66049-3965
Phone (785) 856-0423

Other names 1

  • Charlene May Dumortier Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
01-05756KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
River City Chiropractic, LLC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1446854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446854400000",
    "number": "1619340080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4311 W 6TH ST",
            "address_2": "STE C",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660493965",
            "telephone_number": "785-856-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4311 W 6TH ST",
            "address_2": "STE C",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660493965",
            "telephone_number": "785-856-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMAN",
        "first_name": "CHARLENE",
        "middle_name": "MAY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-07",
        "last_updated": "2015-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLENE",
            "last_name": "DUMORTIER",
            "middle_name": "MAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2015; 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.