Individual provider Active NPI

Lawrence Karl Nelson, DC,DACNB

  • Neurology Chiropractor
  • Tigard, OR
National Provider Identifier
1699815647
Registry record updated Oct 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
1695 Issued in OR
Practice address
7100 SW Hampton St
Ste 121a
Tigard, OR 97223-8390
Phone
(503) 855-4465
Fax
(888) 201-5353
NPI assigned
Feb 7, 2007
Last updated
Oct 11, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X 1695 OR Primary

Addresses

Primary practice location

7100 SW Hampton St
Ste 121a
Tigard, OR 97223-8390

Mailing address

PO Box 2415
Wilsonville, OR 97070-2415
Phone (503) 855-4465

Other names 1

  • Dr. Lawrence K Nelson Professional name

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
1695ORMDNeurology Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476144000000",
    "number": "1699815647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2415",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970702415",
            "telephone_number": "503-855-4465",
            "fax_number": "888-201-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 SW HAMPTON ST",
            "address_2": "STE 121A",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238390",
            "telephone_number": "503-855-4465",
            "fax_number": "888-201-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "LAWRENCE",
        "middle_name": "KARL",
        "name_prefix": "Dr.",
        "credential": "DC,DACNB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2016-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "OR",
            "license": "1695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAWRENCE",
            "last_name": "NELSON",
            "middle_name": "K",
            "prefix": "DR.",
            "credential": "DC,",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; 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.