Individual provider Active NPI

Roger Lloyd Lawson, DC

  • Chiropractor
  • Colville, WA
National Provider Identifier
1679667505
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00001798 Issued in WA
Practice address
165 South Oak
Suite a
Colville, WA 99114
Phone
(509) 684-4456
Fax
(509) 684-4456
NPI assigned
Oct 3, 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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00001798 WA Primary
Chiropractor 111N00000X 281878 OR

Addresses

Primary practice location

165 South Oak
Suite a
Colville, WA 99114

Mailing address

165 South Oak
Suite a
Colville, WA 99114
Phone (509) 684-4456

Other identifiers 1

IdentifierTypeStateIssuer
2004976MedicaidWA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070307000319 WA Practitioner - Chiropractic 7911000252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

165 S Oak St
Colville, WA 99114-2845
Phone (509) 684-4456

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
281878ORMDChiropractor
025202WAMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Colville Chiropractic Clinic Inc PS Chiropractor CurrentSince Apr 1, 2007 Accepting new patients

Locations

165 S Oak St
Ste A
Colville, WA 99114
Phone (509) 684-4456

165 S Oak St
#A
Colville, WA 99114
Phone (509) 684-4456

165 S Oak St
Colville, WA 99114
Phone (509) 684-4456

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679667505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 SOUTH OAK",
            "address_2": "SUITE A",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "99114",
            "telephone_number": "509-684-4456",
            "fax_number": "509-684-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 SOUTH OAK",
            "address_2": "SUITE A",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "99114",
            "telephone_number": "509-684-4456",
            "fax_number": "509-684-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWSON",
        "first_name": "ROGER",
        "middle_name": "LLOYD",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00001798",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "281878",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2004976",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colville, WA

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.