Organization Active NPI

Dr. Lance Audirsch

  • Chiropractor
  • West Helena, AR
National Provider Identifier
1669790069
Registry record updated May 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1257 Issued in AR
Legal business name
DR. LANCE AUDIRSCH
Practice address
124 Garland Ave
West Helena, AR 72390-2440
Phone
(870) 572-1500
Fax
(870) 572-7080
NPI assigned
May 10, 2010
Last updated
May 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2010

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

Authorized official

Name
Dr. Lance Audirsch, D.C.NPI 1235115551
Title
Chiropractor
Phone
(870) 572-1500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1257 AR Primary

Addresses

Primary practice location

124 Garland Ave
West Helena, AR 72390-2440

Mailing address

124 Garland Ave
West Helena, AR 72390-2440
Phone (870) 572-1500

Other identifiers 1

IdentifierTypeStateIssuer
128978718MedicaidAR

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1273449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273449600000",
    "number": "1669790069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 GARLAND AVE",
            "city": "WEST HELENA",
            "state": "AR",
            "postal_code": "723902440",
            "telephone_number": "870-572-1500",
            "fax_number": "870-572-7080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 GARLAND AVE",
            "city": "WEST HELENA",
            "state": "AR",
            "postal_code": "723902440",
            "telephone_number": "870-572-1500",
            "fax_number": "870-572-7080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. LANCE AUDIRSCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-10",
        "last_updated": "2010-05-10",
        "status": "A",
        "authorized_official_last_name": "AUDIRSCH",
        "authorized_official_first_name": "LANCE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "870-572-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128978718",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Helena, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; 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.