Individual provider Active NPI

Christopher M Lawrence, D.C.

  • Chiropractor
  • Apple Valley, CA
National Provider Identifier
1659373157
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
019890 Issued in CA
Practice address
21812 US Highway 18
Ste. C
Apple Valley, CA 92307-3984
Phone
(760) 247-9400
Fax
(760) 247-9431
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 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 019890 CA Primary

Addresses

Primary practice location

21812 US Highway 18
Ste. C
Apple Valley, CA 92307-3984

Mailing address

21812 US Highway 18
Ste. C
Apple Valley, CA 92307-3984
Phone (760) 247-9400

Other identifiers 1

IdentifierTypeStateIssuer
DC0198900OtherCABLUE SHIELD PROVIDER #

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
019890CAMDRegistered Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205452800000",
    "number": "1659373157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21812 US HIGHWAY 18",
            "address_2": "STE. C",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923073984",
            "telephone_number": "760-247-9400",
            "fax_number": "760-247-9431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21812 US HIGHWAY 18",
            "address_2": "STE. C",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923073984",
            "telephone_number": "760-247-9400",
            "fax_number": "760-247-9431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "CHRISTOPHER",
        "middle_name": "M",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2008-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "019890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER #",
            "identifier": "DC0198900",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; 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.