Individual provider Active NPI

Joshua Lawlor, DC

  • Chiropractor
  • Eldridge, IA
National Provider Identifier
1669496238
Registry record updated Aug 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06836 Issued in IA
Practice address
616 Parkview Dr
Eldridge, IA 52748-9694
Phone
(563) 285-8230
Fax
(563) 285-5122
NPI assigned
Jul 27, 2006
Last updated
Aug 5, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 06836 IA Primary

Addresses

Primary practice location

616 Parkview Dr
Eldridge, IA 52748-9694

Mailing address

616 Parkview Dr
Eldridge, IA 52748-9694
Phone (563) 285-8230

Other identifiers 5

IdentifierTypeStateIssuer
P00317060OtherIARAILROAD MEDICARE
1487975MedicaidIA
0487975MedicaidIA
06368OtherIABLUE CROSS BLUE SHIELD
06369OtherIABLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060105000249 IA Practitioner - Chiropractic 8729001748 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J J Lawlor LLCGroup PAC ID 2567560857, 2 clinicians

Practice addresses (Care Compare)

616 Parkview Dr
Eldridge, IA 52748-9694
Phone (563) 285-8230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
J J Lawlor, LLC Chiropractor CurrentSince Mar 1, 2007 Accepting new patients
Clinton Back & Neck Care Center Chiropractor Past Accepting new patients
Clinton Back and Neck Care Center, PC Chiropractor Past Accepting new patients

Locations

616 Parkview Dr
Eldridge, IA 52748
Phone (319) 285-8230

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375660800000",
    "number": "1669496238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 PARKVIEW DR",
            "city": "ELDRIDGE",
            "state": "IA",
            "postal_code": "527489694",
            "telephone_number": "563-285-8230",
            "fax_number": "563-285-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 PARKVIEW DR",
            "city": "ELDRIDGE",
            "state": "IA",
            "postal_code": "527489694",
            "telephone_number": "563-285-8230",
            "fax_number": "563-285-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWLOR",
        "first_name": "JOSHUA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2013-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00317060",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487975",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0487975",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "06368",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "06369",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eldridge, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; 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.