Individual provider Active NPI

Jonathan Eugene Lazar, D.C.

  • Chiropractor
  • Ann Arbor, MI
National Provider Identifier
1629234356
Registry record updated Aug 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009433 Issued in MI
Practice address
203 S Zeeb Rd
Suite 106
Ann Arbor, MI 48103-8326
Phone
(734) 274-5107
Fax
(877) 890-6994
NPI assigned
Aug 1, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009433 MI Primary

Addresses

Primary practice location

203 S Zeeb Rd
Suite 106
Ann Arbor, MI 48103-8326

Mailing address

203 S Zeeb Rd
Suite 106
Ann Arbor, MI 48103-8326
Phone (734) 274-5107

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081009000639 MI Practitioner - Chiropractic 6103994728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

203 S Zeeb Rd
Suite 106
Ann Arbor, MI 48103-8324
Phone (734) 274-5107

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lazar Spinal Care, P.C. Chiropractor CurrentSince Aug 1, 2008 Accepting new patients

Locations

203 S Zeeb Rd
Ste 106
Ann Arbor, MI 48103
Phone (734) 274-5107

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": "1217548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217548800000",
    "number": "1629234356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 S ZEEB RD",
            "address_2": "SUITE 106",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481038326",
            "telephone_number": "734-274-5107",
            "fax_number": "877-890-6994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S ZEEB RD",
            "address_2": "SUITE 106",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481038326",
            "telephone_number": "734-274-5107",
            "fax_number": "877-890-6994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZAR",
        "first_name": "JONATHAN",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-01",
        "last_updated": "2008-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; 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.