Individual provider Active NPI

Lawrence B. Steinle, D.C.

  • Chiropractor
  • Augusta, GA
National Provider Identifier
1669409132
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR001322 Issued in GA
Practice address
1944 Walton Way
Suite H
Augusta, GA 30904-6714
Phone
(706) 738-7731
Fax
(706) 738-4323
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR001322 GA Primary

Addresses

Primary practice location

1944 Walton Way
Suite H
Augusta, GA 30904-6714

Mailing address

1944 Walton Way
Suite H
Augusta, GA 30904-6711
Phone (706) 738-7731

Other identifiers 1

IdentifierTypeStateIssuer
1593OtherGAGROUP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090213000237 GA Practitioner - Chiropractic 3375608920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1978
Medicare assignment
May accept Medicare assignment
Group practices
Advanced Chiropractic CenterGroup PAC ID 1153302203, 2 clinicians

Practice addresses (Care Compare)

122 Old Evans Rd
Augusta, GA 30907-2563

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR001322GAMDChiropractor
001322GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Chiropractic Center Chiropractor CurrentSince Jul 1, 1978 Accepting new patients

Locations

1944 Walton Way
Ste H
Augusta, GA 30904
Phone (706) 738-7731

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669409132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1944 WALTON WAY",
            "address_2": "SUITE H",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309046711",
            "telephone_number": "706-738-7731",
            "fax_number": "706-738-4323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1944 WALTON WAY",
            "address_2": "SUITE H",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309046714",
            "telephone_number": "706-738-7731",
            "fax_number": "706-738-4323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEINLE",
        "first_name": "LAWRENCE",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR001322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP",
            "identifier": "1593",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.